Wiki Final Medicare denial

[jennifersellards@hotmail.com]

How do we get a final denial from Medicare for non covered Medicare services to forward to a secondary who will pay non covered Medicare charges?

 

[CBlanton]

On a UB-04 I add a 21 condition code. I don't know about a 1500 form.

 

[dclark7]

Add a GY modifier to the service, you should get a denial.