Medical Billing Forum

Payments => Insurance Payments => Topic started by: swamy on June 05, 2009, 01:34:31 AM

Title: MEDICARE PAYING CLAIMS WITH ADDING MODIFIER
Post by: swamy on June 05, 2009, 01:34:31 AM
Good morning all.

When we are sending the claims without modifier, some times medicare uses the modifier and and send the payment by considering modifier.

Can any one clarify us about this, why it happens, which way we can prevent.

thanking you all in advance for your help.


Title: Re: MEDICARE PAYING CLAIMS WITH ADDING MODIFIER
Post by: Michele on June 05, 2009, 06:10:46 AM
Your question is very vague but it sounds like you are having claims denied by Medicare.  If you don't have the modifier on the claim then Medicare would not add it.  The only thing I can recommend is that you need to call Medicare on a specific claim that was denied and ask them to explain it to you.

Good luck

Michele
Title: Re: MEDICARE PAYING CLAIMS WITH ADDING MODIFIER
Post by: Priyan on October 03, 2009, 05:10:25 AM
Swamy:

   You Please try to take those charges from exception and post it manually.

Priyan.D