Medical Billing Forum
Billing => Billing => : gbratcliff March 19, 2012, 12:01:48 AM
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Has anyone had any issues with Medicare processing claims? For months now I have been
getting denials for missing/incorrect information and everytime I call I'm told something
different to add or delete or change on my HCFA . I'm so frustrated right now !! I am in
South Carolina and could use some suggestions or ideas or what I should do ! Thanks !
Gina
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It sounds like you just don't have all of the required info in the correct spots. In order to help we would need more info on the specific denials.
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Specific rejection/codes would help. Are these rejections related to the HIPAA 5010 submission?
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We have had the same problem since the first of the year. We are in Michigan. I was first told it had something to do with a 5010 update, then I was told we were missing the rendering provider (but we were not), then I was told to just rebill it because they didn't know. I am working with our vendor and clearinghouse because I am stuck with no answer.
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Hopefully they will get to the bottom of it quickly!
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From what I have read and understand, any 5010 rejections given are usually at the clearinghouse level. There have been some clearinghouses who were not ready. ::) :o
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I use Centircity and I have the same 5010 issues. Although I go thru the clearinghouse, to get my rejections, but I work closely with our vendor support to help me thru the 5010 rejections. So far we have been ok. Sometimes, they just need to tweak the system here and there.