dmonty
New
Has anyone noticed that Medicare is no longer accepting corrected claims? I used to be able to send a 1x7 claim with a condition code D1-D9 for simple things like late charges or updated coding. Now, they keep hitting T-status stating:
Revw acct in T-status in DDE, clm rejected due to the following: A PROVIDER IS NOT PERMITTED TO ADJUST A PARTIALLY OR FULLY MEDICALLY DENIED CLAIM. THIS REASON CODE WILL EDIT WHEN MEDICALLY DENIED LINES ARE MOVED INTO A COVERED STATUS OR MEDICALLY DENIED LINES ARE ALTERED. IF YOU DISAGREE WITH THE MEDICAL DENIAL AND HAVE RECORDS TO SUPPORT SERVICES, SUBMIT A REDETERMINATION REQUEST. WHEN ADJUSTING CLAIMS WITH MEDICALLY DENIED LINE ITEMS, DO NOT MOVE THE CHARGES TO COVERED OR REMOVE THE DENIAL FROM THE LINE TO PREVENT THIS ERROR FROM OCCURRING.
I don't understand or know what I'm doing wrong, so I'm having to void the claim and start from scratch which is not ideal.
Revw acct in T-status in DDE, clm rejected due to the following: A PROVIDER IS NOT PERMITTED TO ADJUST A PARTIALLY OR FULLY MEDICALLY DENIED CLAIM. THIS REASON CODE WILL EDIT WHEN MEDICALLY DENIED LINES ARE MOVED INTO A COVERED STATUS OR MEDICALLY DENIED LINES ARE ALTERED. IF YOU DISAGREE WITH THE MEDICAL DENIAL AND HAVE RECORDS TO SUPPORT SERVICES, SUBMIT A REDETERMINATION REQUEST. WHEN ADJUSTING CLAIMS WITH MEDICALLY DENIED LINE ITEMS, DO NOT MOVE THE CHARGES TO COVERED OR REMOVE THE DENIAL FROM THE LINE TO PREVENT THIS ERROR FROM OCCURRING.
I don't understand or know what I'm doing wrong, so I'm having to void the claim and start from scratch which is not ideal.