NARHC Forum
| Back to all Groups | Back to Topic |
| 3/12/2021 @ 10:05:00 AM
Post 31 of 47
Contributor: Julie York, Marengo Family Medical Clinic
I want to tell you all how much we appreciate your work helping correcting this! Will there be any appeal rights for those denied in the past year or will they correct those claims?
Julie York Clinic Billing Supervisor Compass Memorial Healthcare 300 W May St Marengo, IA 52301 Phone: 319-642-8155 Fax: 319-642-8142 jyork@compassmemorial.org 3/12/2021 @ 11:18:00 AM
Post 32 of 47
Contributor: Jeana Murphy, CCMH Medical Mall Clinic
So when billing these codes on the RHC Modifier HCPCS Conflict Add On List alone without the CG modifier to WPS Medicare - we get the code : CO 97 The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudication. Since the end policy that CMS determined that these service do not meet the definition of a RHC encounter and wouldn't be a part of our AIR , Then is this going to be a contractual adjustment that would go on cost report or a write off as not covered? And - it states under CO- Contractual Obligations on the Medicare EOB:. The patient may not be billed for this amount. I tried finding this information on the CMS website
Jeana Murphy RHC Biller CCMH Medical Mall Clinic 1317 S Hwy 32 El Dorado Springs, MO 64744 P- 417-876-3592 F- 417-876-2818
3/12/2021 @ 5:45:00 PM
Post 33 of 47
Contributor: Nathan Baugh, National Association of Rural Health Clinics
Just want to answer a couple of the questions here. 3/15/2021 @ 10:45:00 AM
Post 34 of 47
Contributor: Julie York, Marengo Family Medical Clinic
Is there anything we need to do so they aren't denied as duplicates or has something been done on the CMS side so this doesn't happen? Thanks again.
Julie York Clinic Billing Supervisor Compass Memorial Healthcare 300 W May St Marengo, IA 52301 Phone: 319-642-8155 Fax: 319-642-8142 jyork@compassmemorial.org 3/15/2021 @ 10:52:00 AM
Post 35 of 47
Contributor: Chris Bryant, John Warner Hospital & Health Service - Family Medicine
We were wondering if we have to submit a corrected claim or should these be sent as a new claim. We had already billed our claim and received a denial and we will be close to the timely limit when we are able to bill on 4/1/21. Thanks Chris
Chris Bryant Patient Business Services Manager Warner Hospital and Health Services 422 W. White Clinton, IL 61727 P: 217-935-9571 x3211 F: 217-937-5262 chris.bryant@warnerhospital.org CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify Warner Hospital and Health Services immediately by telephone at (217)935-9571 x3211 and destroy all copies of this communication and any attachments. 3/31/2021 @ 3:50:00 PM
Post 36 of 47
Contributor: Joyce Harper, MDH Family Medicine
Nathan,
Can you tell me if we would already have a denied claim and would go ahead and rebill this in April . Do you suggest a corrected claim or just a new claim with the cg modifier? Thanks Joyce Harper 3/31/2021 @ 3:57:00 PM
Post 37 of 47
Contributor: Julie York, Marengo Family Medical Clinic
Following
Julie York Clinic Billing Supervisor Compass Memorial Healthcare 300 W May St. Marengo, IA 52301 PH: 319-642-8155 FAX: 319-642-8142 jyork@CompassMemorial.org Notice: This e-mail (including attachments), covered by the Electronic Communications Privacy Act, 18 USC 2510-2521, is confidential and may be legally privileged. If you are not the intended recipient, you are hereby notified that any retention, dissemination, distribution, or copying of this communication is strictly prohibited. Please reply to the sender that you have received this message in error, and then delete it. This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other party unless required to do so by law or regulation and is required to destroy the information after its stated need has been fulfilled. Confidentiality Notice: This email message, including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message. 3/31/2021 @ 4:03:00 PM
Post 38 of 47
Contributor: Cassie Beesley, Springfield Clinic - Hillsboro East
We have been getting "returns" from Palmetto and NGS and not true denials. When that happens you don't have to send it in as a 717 Bill Type because they won't show it as a duplicate. You could then send it in as a 710 Bill Type. If you did get a denial EOB from Medicare then you would have to send it in as a 717 with the original ICN number. Hope that makes sens.
[cid:image003.png@01D4EA20.04F19020] Cassie Beesley, CRHCP Rural Health Clinic Manager Springfield Clinic Phone 217.528.7541 x44801 This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. Thank you. 4/7/2021 @ 11:57:00 AM
Post 39 of 47
Contributor: Julie York, Marengo Family Medical Clinic
We submitted a few of our 11721 and when reviewing on the Medicare portal, they are all denied and this is what is showing. Has anyone else submitted any after April 1st?
[cid:image001.png@01D72B9C.9025FC20] Julie York Clinic Billing Supervisor Compass Memorial Healthcare 300 W May St Marengo, IA 52301 Phone: 319-642-8155 Fax: 319-642-8142 jyork@compassmemorial.org 4/14/2021 @ 2:17:00 PM
Post 40 of 47
Contributor: Lisa Engelman, NMRMC Family Medicine
Nathan, Are these codes to be covered for dates of service 4/1/21 or covered when codes billed 4/1/21 and after with dates of service prior to 4/1/21?
Thank You
|
