Hi! I'm pretty new to gastro billing/coding and I have an issue. Medicare HMO's deny our professional claim as a duplicate to our ASC claim (or vice versa) on a regular basis. They recoup on paid claims for this reason, too. We have to bill the HMO's the same way that we bill Medicare, so both claims go out on a CMS-1500. What, if anything, can I do to prevent this denial from occurring? In many instances my appeal of the duplicate denial or recoupment is denied, as well, even though I explain it to the "T" with examples. Please help! Thanks!!![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
![Mad :mad: :mad:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)