Wiki Billing secondary medicaid after primary commercial coverage

[Elaine0617]

I run a Pediatric Surgery Center and have always had a problem billing medicaid plans secondary to commercial carriers because of modifier issues. To be specific, we do a lot of bilateral procedures that the commercial carriers want billed with LT/RT, the secondary medicaid wants 50 modifier for bilateral. When I bill the secondary they deny or underpay stating that either the modifier is incorrect. Does anyone else do this billing and what do you do?

 

[newsom.mary2@gmail.com]

When the denial comes back to us, we then correct the modifiers to Medicaid requirements. Our computer program only lets us do this after the denial. I wish the claim would come back to us to correct prior to going out to Medicaid.