AshleyCRPM
Guest
I keep getting this message, after billing a spinal cord stim TRIAL. I called medicare and they say the referring provider (who is a neurosurgeon) is not enrolled with PECOS. We are a pain management company so the patient was referred to us by the neurosurgeon. The neurosurgeon believes they are completely enrolled and doesnt understand either. Here is the message:
Missing/incomplete/invalid procedure code(s) and/or dates.; Procedure code billed is not correct/valid for the services billed or the date of service billed.; Our records indicate the ordering/referring provider is of a type/specialty that cannot order or refer. Please verify that the claim ordering/referring provider information is accurate or contact the ordering/referring provider.; The referring provider is not eligible to refer the service billed.
I've used the same codes to bill this procedure for the past year and have never had a rejection on it. PLEASE HEP! THANK YOU IN ADVANCE!!
Missing/incomplete/invalid procedure code(s) and/or dates.; Procedure code billed is not correct/valid for the services billed or the date of service billed.; Our records indicate the ordering/referring provider is of a type/specialty that cannot order or refer. Please verify that the claim ordering/referring provider information is accurate or contact the ordering/referring provider.; The referring provider is not eligible to refer the service billed.
I've used the same codes to bill this procedure for the past year and have never had a rejection on it. PLEASE HEP! THANK YOU IN ADVANCE!!