I would use CO 97

Crisa Mortenson

Billing Officer

Phone: 218-843-3852

Fax : 218-843-2311

1010 S Birch Ave. P.O. Box 700

Hallock, MN 56728

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Hanson,April - April.Hanson at PerhamHealth.org (via billers list) <billers@list.mnhomecare.org>
Sent: Tuesday, November 21, 2023 3:41 PM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] Re: Medicare secondary claim

Marnie,

Do you have a certain adjustment code you would enter for the Q5001 line?

Thanks!

April Hanson

Patient Accounts

Perham Living

Ph: 218.347.1894

F: 218.347.1885

April.Hanson@perhamhealth.org

Dedicated to health and wellness throughout life.

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> on behalf of Marnie Pogreba <marniepogreba@lakewoodhealthsystem.com>
Sent: Tuesday, November 21, 2023 8:45 AM
To: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Subject: [EXTERNAL] RE: Medicare secondary claim

Hello April,

We rarely have a Medicare secondary as well, it is always trial error for me to figure it out. Did you send your Medicare claim to cover 30 days? You might have to manually create that. Can you go into your COB tab and manually enter a 0.00 payment for your 0023 line and 0.01 contractual adjustment for your Q5001?

Marnie Pogreba

Home Care and Hospice

OFFICE: 218 894 8324

Fax: 218 894 8099

LAKEWOOD HEALTH SYSTEM, SENIOR CAMPUS

401 Prairie Ave NE| Staples, MN 56479

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Monday, November 20, 2023 4:07 PM
To: billers@list.mnhomecare.org
Subject: Medicare secondary claim

**External Sender**

Good afternoon,

I am not very familiar with billing Medicare secondary. We had a patient that had a BC plan primary over Medicare. We billed BC the claims went out as 323 claims with G codes. We are trying to bill Medicare secondary but the claim is stuck in the clearinghouse due to the 0023 line and Q5001 lines needing adjustments in the detail tab of the claim. Those line items were not billed to the primary insurance since the claims generated with 323 types of bill and G codes. Is there a way to get the claim through? What should be reflected on these line items? I tried contacting the clearinghouse and they were not any help. Anyone have any ideas? Thanks!

April Hanson

Patient Accounts

Perham Living

Ph: 218.347.1894

F: 218.347.1885

April.Hanson@perhamhealth.org

Dedicated to health and wellness throughout life.

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