Billing > Billing
INS VS PT BILLING
PMRNC:
--- Quote ---Here is an update on this topic. The patient contacted his old workers comp carrier trying to demand for them to pay his bill....funny right. Workers comp told him that he has to do the same thing I have been telling him, you must contact medicare to do your coordination of benefits.... so after 6 months, he finally did it. I received a call from medicare verifying that he had updated. They said I must resubmit the claims electronically of course with the statement "not worker comp or auto accident related. So, my question is should I put that statement in line 19?
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My answer might be different from others..but I would actually do a paper claim with letter and documentation of the call from Medicare.
shanbull:
--- Quote from: rdmoore2003 on September 27, 2013, 02:15:14 PM ---Here is an update on this topic. The patient contacted his old workers comp carrier trying to demand for them to pay his bill....funny right. Workers comp told him that he has to do the same thing I have been telling him, you must contact medicare to do your coordination of benefits.... so after 6 months, he finally did it. I received a call from medicare verifying that he had updated. They said I must resubmit the claims electronically of course with the statement "not worker comp or auto accident related. So, my question is should I put that statement in line 19?
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No one actually reads the electronic claims on the first pass. The decision is made by software. So stick it in line 19 but expect it to be rejected because there's no human on the other end to read it. Have an appeal form ready to go with letters denying liability from the auto and worker's comp policies (you will need to contact those companies and request them). You shouldn't have any problems with getting paid after that, I do it all the time (I work for a chiropractic/PT clinic so we have to deal with this a lot).
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