DMerc Rejections--Missing/Invalid Ordering Provider
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DMerc Rejections--Missing/Invalid Ordering Provider
We do have the ordering/referring provider listed in the Referring Provider field in the case...and I see it in the claim. But the payer claims they are receiving the practice's Group NPI, not the ordering provider's name and NPI.
Is there something I'm doing wrong? I'm using the standard IGuide for V22. Should I be using a different IGuide for DMerc? I can provide a sample claim if needed.
Thanks,
Steve
Medical Billing Professionals
- Gavin Walker
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Re: DMerc Rejections--Missing/Invalid Ordering Provider
But, you also should be using the DME iGuide along with the appropriate DME Smart Screen.
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386
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Re: DMerc Rejections--Missing/Invalid Ordering Provider
So we should be using the DME with CMNs IGuide, even though we don't need CMNS?
And I have never really looked at the smart screens. Do we have to add additional info to the smart screens in RM? And what's the cost?
Steve
Medical Billing Professionals
- Gavin Walker
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Re: DMerc Rejections--Missing/Invalid Ordering Provider
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- Posts: 312
- Joined: Fri Mar 11, 2011 6:59 pm
Re: DMerc Rejections--Missing/Invalid Ordering Provider
Medical Billing Professionals
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: DMerc Rejections--Missing/Invalid Ordering Provider
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- Posts: 312
- Joined: Fri Mar 11, 2011 6:59 pm
Re: DMerc Rejections--Missing/Invalid Ordering Provider
Medical Billing Professionals
- Gavin Walker
- Posts: 4626
- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: DMerc Rejections--Missing/Invalid Ordering Provider
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- Posts: 312
- Joined: Fri Mar 11, 2011 6:59 pm
Re: DMerc Rejections--Missing/Invalid Ordering Provider
Steve
Medical Billing Professionals
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Re: DMerc Rejections--Missing/Invalid Ordering Provider
This should then send the claim to CGS Medicare DME with ordering provider name properly recognized.
Richard 9-10-2020