Medical Billing Forum

Payments => Insurance Payments => Topic started by: mirnat on February 15, 2012, 03:46:45 PM

Title: Medicare payments
Post by: mirnat on February 15, 2012, 03:46:45 PM
It's been months since we've received a payment from Medicare.  Claims haven't been denied but they don't seem to be processed either.  Is anyone else having this problem?  Is there someone we can contact?  Thanks!
Title: Re: Medicare payments
Post by: PMRNC on February 15, 2012, 04:01:48 PM
Have you looked to see if there are rejections at the CH level? 5010 problems? I've seen some people with a LOT of problems with Medicare payments due to 5010 rejections and then I've seen others with NO problems which leads me to believe this is an issue on a clearinghouse / software vendor level.  I would start there and then contact Medicare if claims were transmitted.   Clearinghouse reports should be utilized first.
Title: Re: Medicare payments
Post by: laurahartman on April 16, 2012, 03:16:29 PM
I used to have a DME company, "used to" is operative word. We were placed under prepayment audit without notice and only realized it when we stopped being paid and AR was aging. It was a painful process. Good Luck.