Hospitals Billing Tips

1. Medicare Denials – When billing for services denied by Medicare for recipients who are eligible for Medicare and Medicaid, you must attach the EOMB statement of Medicare denial to the hardcopy or upload with online submitted claim.

   
   

   TPL Denials - When the third-party payment source denies payment, you must attach the EOB statement of denial to the hardcopy claim or upload with the online submitted claim.

2. Retroactive Eligibility – When a recipient receives retroactive eligibility, include an attachment indicating the recipient's retroactive eligibility.