Been getting denials on claims when a patient has physical therapy and occupational therapy on the same dates of service. Sometimes OT and PT use same codes also. the tax ID is the same and group NPI is the same for these claims. But I put the rendering PT or OT NPI in box 24J and put name of the rendering provider in box 31. The denials say "already processed this charge". I've sent in reconsiderations w/ notes but some are still denied. Was wondering if there's something else I should put on the claim, maybe a modifier or something to show which type of therapy the claim is for. Ins. carrier suggested sending in notes w/ each claim, but I submit claims electronically and cannot send attachments w/ the service I use. Notes have to be faxed or mailed separately. Also, would have to get my providers to send notes in w/ each set of new charges. So before asking them to do that, would rather see if there's something I can do on the claim.
Also, these patients are Medicaid secondary - I can't file the secondary with a denial EOB saying "already processed". That sounds like it's a duplicate claim, which is isn't. Thanks, ryanne