Payments > Insurance Payments

Medicare payments

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mirnat:
It's been months since we've received a payment from Medicare.  Claims haven't been denied but they don't seem to be processed either.  Is anyone else having this problem?  Is there someone we can contact?  Thanks!

PMRNC:
Have you looked to see if there are rejections at the CH level? 5010 problems? I've seen some people with a LOT of problems with Medicare payments due to 5010 rejections and then I've seen others with NO problems which leads me to believe this is an issue on a clearinghouse / software vendor level.  I would start there and then contact Medicare if claims were transmitted.   Clearinghouse reports should be utilized first.

laurahartman:
Hello,
I used to have a DME company, "used to" is operative word. We were placed under prepayment audit without notice and only realized it when we stopped being paid and AR was aging. It was a painful process. Good Luck.

Laura

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