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Practice Partner

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mbspecialsit:
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:
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:
What are they being denied for?

mbspecialsit:
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:
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.

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