Medicare denials

[gbratcliff]

Has anyone had any issues with Medicare processing claims?  For months now I have been
getting denials for missing/incorrect information and everytime I call I'm told something
different to add or delete or change on my HCFA . I'm so frustrated right now !! I am in
South Carolina and could use some suggestions or ideas or what I should do ! Thanks !

Gina

[Michele]

It sounds like you just don't have all of the required info in the correct spots.  In order to help we would need more info on the specific denials.

[PMRNC]

Specific rejection/codes would help. Are these rejections related to the HIPAA 5010 submission?

[rkillian]

We have had the same problem since the first of the year.  We are in Michigan.  I was first told it had something to do with a 5010 update, then I was told we were missing the rendering provider (but we were not), then I was told to just rebill it because they didn't know.  I am working with our vendor and clearinghouse because I am stuck with no answer.

[Michele]

Hopefully they will get to the bottom of it quickly!

[PMRNC]

From what I have read and understand, any 5010 rejections given are usually at the clearinghouse level. There have been some clearinghouses who were not ready.   

[macbook]

I use Centircity and I have the same 5010 issues. Although I go thru the clearinghouse, to get my rejections, but I work closely with our vendor support to help me thru the 5010 rejections. So far we have been ok. Sometimes, they just need to tweak the system here and there.