Ok, so I have a client that we billed Medicaid since they were for med management, nothing Medicare qualifies for skilled nursing services. So I didn't think we could bill Medicare. However it was denied for other insurance. 
DHS says I need to submit a claim to Medicare first and once it is rejected to resubmit with them, so I am doing this to have it rejected. 
Once it is rejected, how do I let DHS know it was rejected? Is this a modifier? 

--
Jenifer Baker, OTR, PTA
Director of Rehabilitation
Firstat Nursing Services
Comprehensive Home Care and Therapy Services
2395 Ariel St. N, 
Suite A
Maplewood, MN  55109
Office: 651-288-0222 ext. 2003
Direct Number: 651-409-4378
Fax: 651-288-0214

 Our Mission is to Provide Comprehensive, Compassionate, Family Centered Care Dedicated to Enriching the Lives of our Employees, our Patients, their Loved Ones and the Community We Serve.