Wiki Non emergent stretcher transport

gammy2two

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How do I get Medicare to pay for stretcher transport for a patient to get from his residence to a cancer treatment facility (destination modifiers R,D). This patient is already a certified transport patient, as he is taken every other day to dialysis (modifier R,J) and is paid appropriately. However, just as he requires transport to dialysis, he also requires transport to the cancer center and he goes there daily. Our claims are repeatedly denied. We use the PRO32 system for filing Medicare and have entered the FAX in block 19 (which should be the appropriate Loop) and are faxing the CMN and explanation of what "D" destination is. When we call Medicare Customer Service, the reps are of no help at all. Does anyone know how to make this a simple process.
 
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