rebilling Medicare claims, PSI's, HAC's
As part of my job, i review all coded HAC's and PSI's. Because it has been difficult to get coding to send these to me pre-bill this has primarily been occurring post-bill though I review within a day or 2 of it being final coded. I had a meeting with Billing recently about some re-billing issues that have arose recently. They mentioned that even if we are within 60 days, if we want to re-bill a claim for quality purposes, the T-file will not be accepted by Medicare as they do not recognize this as a 'significant change'.
For those of you working on PSI's/HAC's/etc, what does your process look like? is it occurring pre or post-bill? If it is retro, have you had any issues with Medicare accepting the claims?