Medical Billing Forum

Medical Billing Software => Medical Billing Software Questions => Topic started by: mbspecialsit on July 28, 2010, 12:17:25 PM

Title: Practice Partner
Post by: mbspecialsit on July 28, 2010, 12:17:25 PM
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!!
Title: Re: Practice Partner
Post by: DMK on July 28, 2010, 12:58:26 PM
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.
Title: Re: Practice Partner
Post by: Michele on July 29, 2010, 11:39:32 AM
What are they being denied for?
Title: Re: Practice Partner
Post by: mbspecialsit on August 05, 2010, 11:04:09 AM
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.   :'(
Title: Re: Practice Partner
Post by: PMRNC on August 05, 2010, 11:13:22 AM
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.