Medical Billing Forum
Medical Billing Software => Medical Billing Software Questions => : mbspecialsit July 28, 2010, 03:17:25 PM
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Anyone here use Practice Partner for billing? I am in need of some serious help. I have been trying to bill Medicare as a secondary payer and the claim keeps getting rejected/denied. The support team is great but they just cannot figure out why the claims keep getting denied.
Any advice/suggestions.....
Thanks!!
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Be sure you're coding the primary as if it were Medicare with all appropriate diagnosis and modifiers. Even if Medicare is secondary, they want correct (for Medicare) coding.
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What are they being denied for?
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The claim is being denied at the clearinghouse level as invalid adjustment codes.
The support team has made all changes/adjustments but the claim just keeps
being denied before it even gets to Medicare. :'(
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If the claim is rejecting on the clearinghouse level, the clearinghouse needs to help you find a solution. If you have checked all other options on a "claim level" it seems to me the clearinghouse has some sort of adjustment to make.