Billing > Facility Billing

Does any one have a list of ALL possible 2ndry Group/Adj codes?

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Lugoves:
Medicare is the only one that consistently reports these on there EOB's and they aren't a problem. I was more looking for COB issues where the primary is not covering for a 'reason' or like my other example ...looking to alert a Medical insurance that a Primary Auto or PIP insurers benefits are exhausted, w/o forcing it into a category or code that doesn't quite fit. It's not a big deal, just trying to MORE accurately report to 2ndry insurers [electronically] to reduce potential denials for information etc. Thanks all. it was a stumper for me as well, and apparently not all that important to payors. Have a good day - I'll recind my request :-)

PMRNC:

--- Quote ---Only the CO-45 PR 1,2,3 sent electronically to a 2ndry after Primary payment is received. They are not part of the reporting process of the software, nor are they traceable from any usable standpoint. I think I'm not communicating exactly what I mean accurately. Nevermind all. Thanks for your thoughts.
--- End quote ---

no no.. don't recind.. <g>

I got it now.. you are talking about the electronic crossovers from Medicare to MSP.  One more question.. are you auto payment posting? that could make big difference. On some PM softwares with auto posting it is much more difficult to track the primary denials or eob codes.. I agree   however I don't use auto posting, in my opinion they have not perfected that enough for me to want to use it..  If you are however manually posting payments, when you post the primary payment does your system allow for more than one adj code .. hard to explain but for example what I do in a few softwares is enter the primary payment and most softwares will allow for multiple adjustment codes, so for example let's say I have $100 charge, the carrier allows $75 but $25 is denied. I can do the Medicare pmt adjust code and then another code for the $25, generate the secondary, attach the EOB. Now I can run a report based on that adjustment code to track those amounts I'm waiting for secondary response on.   I think it will come down to whether your system allows for multiple adjustments per claim. If not you have to rely on the notes section if your PM software has that capability. (tedious I know)

That's just the way I do it, it might not be efficient for you and I hope I somewhat explained it. Sometimes I overdo things because I'm overly organized so I also keep spread sheets to track certain things for my own internal use. I've always had a hard time relying completely on computers <g>

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