How to bill home infusion for denial to medicare

[lelli]

I am new to billing for denial. I have tried several times to demand bill to DMERC. I bill electronically using 5010 system. I keep getting rejections. What am I doing wrong?

[Michele]

There is no way for anyone to help you without more details.  For example, what are they being rejected for?

[lelli]

I do not know how to bill S-codes to medicare for denial so that I can bill secondary.

[Michele]

You would just bill them the same as you would to any other carrier, just like any other cpt codes.

[lelli]

CPT codes and S codes are very different. As a Pharmacy Provider I do not use CPT codes, therefore I don't know what coding to use.

[Michele]

I believe S codes are HCPCS codes which are billed the same as CPT codes.  That is what I was stating.  Your questions are very vague so it is difficult to answer.  When you say "how to bill S-codes to Medicare for denial" I'm not sure what you are asking.  If you have the appropriate S code it would be billed in an 837 format.  Medicare requires electronic billing unless you applied for a waiver.  The 837 format is the electronic version of the CMS 1500 and the S code would go where the cpt code goes.

If you are asking for help finding the appropriate S codes then we would be unable to help based solely on your question as we don't know what service was provided to pick the appropriate S code.