Hey yall!!!
I have patients that just recently started denying by TX Medicare as "invalid, incorrect initial treatment date". The electronic claim is populated with 7/22/14 in the initial (date of injury) field and the two dates of svs being billed and denied are 7.29 and 8/5.
The software company says their software is fine and I should add dates to the date last seen and x-ray fields.
Novitas state they see the information on the electronic claim but really do not have a definitive answer as to what's causing the denials. I know a new LCD came out but it does not make mention of the injury dates, just that the patient is allowed 12 visits per year or 30 for continued care.
Has anyone else experienced this? Should I populate the other field's? I called another biller here and she's not experiencing this problem so she wasn't able to help.
Medicare is the lifeline of this company and it seems like right when things are going right...... they end up going left
Thank you for your help and feedback