tci Medicare Compliance & Reimbursement - 2008 Issue 9

Billing: New Software May Answer Secondary Payer Woes

Consider downloading additional software from your carrier or clearinghouse if necessary If you're wrangling with your carrier to accept your electronic Medicare secondary payer claims, you're not alone. Approximately two years ago, several Medicare carriers told practices that they would no longer process Medicare secondary claims unless practices submitted the claims electronically. Snag: Most billing software systems can't handle Medicare secondary claims data, however, making the process cumbersome. Unfortunately, most payers haven't streamlined their systems too much since then, and practices are still struggling with how they can collect when Medicare is the secondary payer. "We are not having...

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