Scenario: Pt presents with a medicare card and a medicaid card, the front desk verifies coverage with medicare. Billing dept bills medicare, there were problems getting claim thru to medicare, finally goes thru, medicare denies as there is another payer. The time has run out to bill the other payor. Is there any way to appeal this?
How can I keep this from happening? Is there a way to make it easier for the front desk to understand what information they need to get from the patient? (and then they can verify the right insurance) After I get a denial, I'm using typically 3 different websites to try and figure out who is prime, who is 2ndary etc. to bill it correctly.
I know that pt's often are not aware of who is primary who is secondary, what is the replacement plan and so forth, but I get alot of patients who only give us 1/2 of the information we need to bill correctly.
What are other people doing that they are finding useful in these types of situations?
How can I keep this from happening? Is there a way to make it easier for the front desk to understand what information they need to get from the patient? (and then they can verify the right insurance) After I get a denial, I'm using typically 3 different websites to try and figure out who is prime, who is 2ndary etc. to bill it correctly.
I know that pt's often are not aware of who is primary who is secondary, what is the replacement plan and so forth, but I get alot of patients who only give us 1/2 of the information we need to bill correctly.
What are other people doing that they are finding useful in these types of situations?