Wiki Billing Medicare when a Medicare HMO does not pay

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I work for a FQHC and I am having a big problem trying to figure out how to bill Medicare when the Medicare HMO does not pay. I am not sure which Condition codes to use or occurrence codes. I am tried looking and I am stumped. Any help would be appreciated!
 
The Medicare Advantage plan did not pay? What was the reason? Medicare Advantage replaces Medicare.

Heather
 
The Medicare Advantage plan did not pay? What was the reason? Medicare Advantage replaces Medicare.

Heather

I wanted to add on to part of my nevermind. I mentioned the same but corrected myself. I did read FQHC can submit to CMS for the difference between MA plans contract rate and CMS rate for FQHC, However i'm not sure if complete denial makes any difference.
 
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