Results 1 to 5 of 5

Medicaid Help!!!!!!

  1. #1
    Question Medicaid Help!!!!!!
    Exam Training Packages
    Hello Forum,
    I need help, our office is located in NJ, and we are a participating provider with Medicaid, however when we send out a claim we get a denial, we have been told that a different referring provider needs to be on all codes.

    Please give input.
    Ivonne Atanacio CPC,CPB,CPMA,CPC-I

  2. #2
    North Carolina
    Are you a specialist? Are these HMO patients?

  3. #3
    Yes, We are a Specialist office and most of them are strictly medicaid.
    Ivonne Atanacio CPC,CPB,CPMA,CPC-I

  4. Default
    I bill for specialist in OH and we need a referring physician (with NPI) on every claim for a consultation. You also need the referring physicians Medicaid number. Thats how we bill in OH.

  5. #5
    North Carolina
    I agree with Tiffany. You may want to to check this information. We have specialist within our group and the lack of this information on a claim will result in a denial for HMO patients.

Similar Threads

  1. Replies: 4
    Last Post: 04-08-2015, 11:21 AM
  2. Medicaid
    By in forum Billing/Reimbursement
    Replies: 4
    Last Post: 05-10-2012, 02:11 PM
  3. Medicaid
    By solocoder in forum Billing/Reimbursement
    Replies: 3
    Last Post: 10-19-2011, 02:03 PM
  4. Help with Medicaid
    By perkins05 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 09-26-2011, 08:56 AM
  5. NC Medicaid
    By mraymond74 in forum OB/GYN
    Replies: 1
    Last Post: 05-07-2010, 08:08 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.