Medical Billing Forum
Billing => Billing => : lelli August 24, 2012, 01:36:12 PM
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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?
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There is no way for anyone to help you without more details. For example, what are they being rejected for?
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I do not know how to bill S-codes to medicare for denial so that I can bill secondary.
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You would just bill them the same as you would to any other carrier, just like any other cpt codes.
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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.
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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.