For one specific denial, we got denied because of concurrent care, another provider with the same specialty also billed Medicare for the same DOS. And both providers do not have a subspecialty. And since the other provider billed first, he is the one that gets paid according to the CSR. I did send an appeal with Medical records indicating my provider did render services to the patient, I still got a denial for concurrent care.
Is there any way we can avoid this in the future? What can I advice my provider to avoid this concurrent care denial. We do get a lot of this.
In relation to my previous question, if we were denied with Medicare should I also still go ahead and bill Medicaid when I know that Medicaid will follow the denial of Medicare?
Thank you so much for your help.