Author Topic: Practice Partner  (Read 1484 times)

mbspecialsit

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Practice Partner
« 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!!

DMK

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Re: Practice Partner
« Reply #1 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.

Michele

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Re: Practice Partner
« Reply #2 on: July 29, 2010, 11:39:32 AM »
What are they being denied for?
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mbspecialsit

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Re: Practice Partner
« Reply #3 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.   :'(

PMRNC

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Re: Practice Partner
« Reply #4 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.
Linda Walker
Practice Managers Resource & Networking Community
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