You need to add occurrence code 25 and date ABN signed. This is the date you determined services is not a Medicare covered service.

Tracy Salin
Billing Specialist
Fairview Range Home Care and Hospice
Phone: 218-262-6982
Fax: 218-262-1723

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Jenifer Baker
Sent: Wednesday, February 24, 2021 2:24 PM
To: billers@list.mnhomecare.org
Subject: Billing Medicare vs. Medicaid

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.

[https://urldefense.proofpoint.com/v2/url?u=https-3A__drive.google.com_a_firstatmn.com_uc-3Fid-3D0BwU0ttWO24rEZHJxcXRUUnF1ME1yajNoWGJUeXZDZWgxdjlF-26export-3Ddownload&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=9D3F6WMATAZLYpNS7Qf1XikRBFLJ8YPOFGfAItO9UXQ&s=0-SfxqX2io5tY6Wv4FkTfGkIrJoVSDlgV3rRcHhkcDc&e= ]   [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D1AX-5FOrEmujuL5M7Ru0fqYNemJi2aqAW43-26revid-3D0BwU0ttWO24rEeEtSWVNsWW9SQmhFbGpHRldkVWQ0bHN3TDE0PQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=9D3F6WMATAZLYpNS7Qf1XikRBFLJ8YPOFGfAItO9UXQ&s=_AFT5lD4elbDsLyGI0LLEIDSOlAI01apFvSvAnTSbD4&e= ] [https://urldefense.proofpoint.com/v2/url?u=https-3A__docs.google.com_uc-3Fexport-3Ddownload-26id-3D16mcOmqOkbKI4prnt9NOk8IdnKYXaCu4u-26revid-3D0BwU0ttWO24rEYmZzS2VLVHNRcDgwNTJmVUV6MTVpMXFyNjZNPQ&d=DwIGaQ&c=e0qWO0MXWFiQgGWE0UmXdQ&r=q3eoDSo6ivuEt1RVCYTKodyJSjIs9_TpWWqSLDHbYd0&m=9D3F6WMATAZLYpNS7Qf1XikRBFLJ8YPOFGfAItO9UXQ&s=Nn41gvqMmoCWmwwhKtxEttaaTHRCvitZBl6QY-4RW0g&e= ]