State-by-state backbilling limits reference?

Started by Deb M. — 5 years ago — 9 views
Got a new hospital client in Augusta and found something concerning. The Schedule MGS rate schedule clearly states power factor minimum 0.95, but the bill shows winter rates applied year-round. Three of the 12 months show estimated reads with no true-up.
This is exactly why I always pull 36+ months of history. The pattern wouldn''t show in a shorter window.
Nice find. I''ve started using a Python script I wrote to cross-reference these calculations and it saves a ton of time.