Payments > Insurance Payments
Medicare replacements
QueenAlicia:
--- Quote from: PMRNC on January 17, 2013, 04:28:40 PM ---
--- Quote ---See, here is the thing, I DON'T authorize benefits for them. This is a fairly easy account really, they send the day sheets and their schedule and I submit claims, post payments, statements in their system. Their OM verifies insurance and when it states medicare in the insurance column it does not state "replacement". I don't even see the insurance cards or anything. So I started looking at the age of the patient to determine the use of the modifier so I know won't have the denials.
--- End quote ---
Do you mind if I ask are you billing them a %? If so it's to your benefit to take over this duty, if it's not or not included in your services your charging for, perhaps you can suggest adding it (at cost of course) and be sure they realize the importance of the task and how essential it is in the reimbursement process. they will be either TOO happy to let you do it OR get busy themselves and make sure they do it, Only one of those two are going to ensure proper reimbursement.
--- End quote ---
Yes, she is my ONLY client on this type of payment. I hate it and she really is a PIA that likes to micro manage. I really don't thin that she understands how a billing service works. They go in and post a check payment and then send the EOB's to me and I apply that check to the visits. Everything is backwards and I just deal with her in a way that causes me less stress.
Navigation
[0] Message Index
[*] Previous page
Go to full version