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billing medicare ky after pt has died

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sherry27:
I am billing medicare for pts that were seen in the hospital. I beleieve I got a rejection before for this. The pt is dead now. Does medicare need something else. I am billing on a cms 1500 form. Your help will be appreciated. Thanks ;)

Michele:
Are you saying the claims were rejected because the pt was deceased?  Medicare will pay for any services prior to the date of death so I'm thinking the denial was probably for a different reason?

Michele

sherry27:
Thank you for your answer. No, I didn't get a rejection yet for this patient. I went on and put date of death on the claim too. Actually this is not just one pt. I only sent out 10 pts this morning for consecutive days in the hospital and 5 of those pts are dead when I checked eligibility..OUCH!!

PMRNC:
Ouch, is right, remind me to make sure that's not my doctor lol

But Michele is right, as long as the DOS are prior to the patient's death they should be covered, if you receive a rejection it is possible that another provider provided same levels of service on same days in which case whomever gets paid depends on who gets their claims in on time.

Steve Verno CMBS, CEMCS:
When asking a question, it helps to have as much information as possible.  If you have a rejection or denial we need to know the reason provided by the insurance company for the rejection or denial.

Otherwise, you will be provided many answers that can be different yet each could be right or wrong. 

There is no need for PHI on the patient themselves. 

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