Author Topic: Medicare billing  (Read 1538 times)

June

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Medicare billing
« on: August 06, 2015, 12:52:37 AM »
I have only been billing since October and I tried to fix a claim that keeps sending to Medicare in our Medisoft program.  It is a paid claim that for some reason keeps getting resent and it has sent approximately 5 times.  I have contacted Relay Health to help with this issue.  I think we have the problem solved and it was an error on my end that I didn't complete the claim and there was a 2 cent balance on the claim and it kept picking it up and resending it.  I have contacted Medicare to see what I do because it keeps getting sent as I bill weekly. The Medicare representative I spoke to said that I shouldn't have those claims retracted since they didn't pay but I am worried this issue could cause an audit.  Is there anything else I should do in regards to Medicare to show this was an error and I am not trying to get this claim paid again. 

rofakamrd

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Re: Medicare billing
« Reply #1 on: August 11, 2015, 01:50:49 PM »
they will only deny... unless u do something diff to try and get it paid.... been there done that myself!

PMRNC

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Re: Medicare billing
« Reply #2 on: August 13, 2015, 11:27:55 AM »
Sounds like you need to resolve the claim "status" in Medisoft and then I would do a letter to Medicare to explain the system glitch so that they can note the file and you won't get flagged.. I doubt you would for one claim but to be safe I would send a letter and explain the problem after you resolve the issue in Medisoft.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

June

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Re: Medicare billing
« Reply #3 on: October 09, 2015, 05:45:40 PM »
Thank you for the information.  I have been training new personnel and will pass this information on to them.

pankaj

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Re: Medicare billing
« Reply #4 on: October 26, 2015, 11:20:45 AM »
You can call to medicare with all the claim numbers "you received from medical denied claims ERA's" and ask them to void the claims as they were submitted by mistake. and to fix the problem you can adjust down the claim's balance to 0 in software so that do to go out more claims in future.