Author Topic: Medicare Help  (Read 463 times)


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Medicare Help
« on: March 05, 2022, 10:20:46 AM »
I have been doing medical billing only since 2018, so I am relatively new.  Just recently contracted to send Medicare claims EDI.  Now I am getting my claims rejected saying I need a referring/ ordering physician.  The practice is a family facility and never needed this before .  I know you need a physician for ordering certain equipment.  I cannot get any help from medicare.  Help .    Barbara


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Re: Medicare Help
« Reply #1 on: March 08, 2022, 05:33:06 PM »
Every Claim requires referring / ordering practitioner, who is providing the services.


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Re: Medicare Help
« Reply #2 on: March 09, 2022, 06:09:55 PM »
Actually all services do not require referring/ordering providers.  However some services do, such as EKGs and other testing.  In the case you describe, the rendering provider is also the referring provider since he/she decided to perform the test, they both ordered the test, and rendered the service.  So you would put in the rendering provider as the ordering/referring provider.
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Re: Medicare Help
« Reply #2 on: March 09, 2022, 06:09:55 PM »