Skip to main content

Requesting Automatic Offset on Overpaid Part B Claim

According to Trailblazer.com Effective immediately, TrailBlazer Part B will again offer the service of automatic offset for demanded overpayments. This service was discontinued in August 2009 because of budget and workload constraints; however, recent system changes have made the process of automatic offset very efficient.
A provider/supplier may request TrailBlazer automatically offset any identified overpayments by mailing a written request to:
TrailBlazer Health Enterprises, LLC
Attn: Part B Debt Collection & Referral
3101 S. Woodlawn
Denison, TX 75020


  • The request for automatic offset may be for only one claim or the provider/supplier may request TrailBlazer always automatically offset overpayments.
  • The written request must clearly indicate if the provider/supplier is requesting TrailBlazer to offset all overpayments or only one particular overpayment.

The benefit to automatic offset is that recoupment begins immediately, reducing or eliminating the amount of interest assessed. If recoupment of the overpayment is satisfied within 30 days, the provider/supplier will be charged no interest.
When the provider/supplier requests to have overpayments automatically offset, TrailBlazer will issue a demand letter explaining the overpayment. Providers/suppliers will continue to have all appeal rights and may appeal the overpayment if they disagree with the determination.
Providers/suppliers that receive a demand letter and wish TrailBlazer to put the overpayment into automatic offset will need to notify TrailBlazer immediately as interest begins assessing 30 days from the date of the demand letter. Fax these types of requests to:
Attn: Part B Debt Collection & Referral
(903) 463-0615

Comments

Popular posts from this blog

What is QMB / MQMB stands for?

In Medical billing or Healthcare industry The term QMB stands for Qualified Medicare Beneficiary & MQMB stands for Medicare Qualified Medicare Beneficiary. The term "QMB" or "MQMB" on the form indicates the client is a Qualified Medicare  Beneficiary (QMB) or a Medicaid Qualified Medicare Beneficiary (MQMB). The Medicare Catastrophic Coverage Act of 1988 requires Medicare premiums, deductibles, and coinsurance payments to be paid for individuals who meet the following criteria:  Important: Clients limited to QMB are not eligible for THSteps or THSteps-CCP Medicaid benefits.  Note: Clients eligible for STAR+PLUS who have Medicare and Medicaid are MQMBs. Medicaid reimburses for the coinsurance and deductibles as well as Medicaid-only services for the MQMB client. QMBs do not receive Medicaid benefits other than Medicare deductible and coinsurance liabilities. MQMBs do qualify for Medicaid benefits not covered by Medicare in addition ...

Key Performance Indicators (KPIs) for Successful Revenue Cycle Management (RCM) in Healthcare Organizations

 Revenue Cycle Management (RCM) is an essential process for healthcare organizations to ensure that they receive timely and accurate payments for the services they provide. Here are some of the key performance indicators (KPIs) metrics that healthcare organizations should track as part of their RCM process: Gross Collection Rate (GCR): This metric measures the percentage of charges that a healthcare organization collects from patients and insurance companies. It is calculated by dividing the total payments received by the total charges billed. Net Collection Rate (NCR): The NCR measures the percentage of expected payments received by the healthcare organization after accounting for contractual adjustments, bad debts, and other adjustments. It is calculated by dividing the total payments received by the total expected payments. Days in Accounts Receivable (DAR): This metric measures the average number of days it takes fo...

Rejection Procedure note qualifier is missing

  Need to check the Charges tab and double click on the Procedure Code line to open up the Charge Entry window. There is a Notes section on the right hand side. If there is a note typed, we need to select the type.   Need to select field and select the appropriate type of note you are sending.   Save the changes made   Check all the procedure if submitted many procedure.   Save the visit again and submit the claim.