I saw this issue had several posts back in 2014, but nothing much since. We were using RCM for billing (don’t!) and now our billing dept is handling everything. They are getting denials from Medicare because the DK’ qualifier and ordering provider are not populating in box 17.
We are told by eCW that there is not a way to have an Ordering Physician auto populate on a claim. We will need to select the Ordering Physician at CPT level manually.
Anyone run across this situation and have figured out how to satisfy the denials? One of the eCW billing trainers says there is an edit that can be created for either individual CPTs or a range of CPTs that require Ordering Physician. This will show as a claim edit only for those CPTS that require Ordering Physician.
Could use some assistance with this? Are you manually adding this at CPT or claim level or has eCW figured this out over the years?
Thanks,
Karen