[ChrisBarnppc1]

I am trying to bill a wheelchair cushion for a patient who is receiving a wheelchair in 3rd month of rental. I am still being rejuected by medicare for the cushion. does anyone have any suggestions?

[DMEisgoodfun]

What's your denial code? It could be a number of things, missing modifier,
missing narrative, etc..

[HEATHER]

It is being front end rejected when you submit the claim or is it being
denied after submission? What modifiers are you using when submitting the
cushion? What code is the w/c being billed with? Did you include a
narrative stating what w/c the cushion is being used with and that the w/c
is a rental?

[ChrisBarnppc1]

denial codes CO16 Claim/service lacks information :MA130 Incomplete and/or invalid information: N56 Procedure code billed is not correct/valid for services billed or the date of service billed..I billed code E2601 NU RR

[Regina]

I'm pretty sure that it needs a KX modifier, plus you can't have NU and RR on the same claim.
Also, I have been noticing that, in region A anyway, they are asking for extra narrative for equipment used on equipment that is still renting, like your wheelchair. For example, I recently had to add extra narrative for A7003, nebulizer cup & tubing, stating that pt is renting E0570. Anything to avoid paying a claim in a timely manner.
Hope this helps!

[SERtennis]

E2601 Wheelchair Cushion is only billed as a purchase. You would not rent and sell a cushion. Remove the RR Modifer.

Sue Ray
R & R Discount Medical

[SERtennis]

One More thing I always put a full description of the cushion and size in the notes to avoid any other rejections. Example
Sunrise Medical- Item Number
Jay Basic Cushion
Seat Size 18 x 16

Sue Ray
R & R Discount Medical

[SERtennis]

Did you provide the make model and serial number of the wheelchair that was provided 3 months ago?
My rule for Medicare is arm them with every piece of information you have to get the claim paid the first time.
Example:
Sunrise Medical Jay Basic Cushion Item Number SB16
Provided 2-19-2010
Medicare Rental Wheelchair provided 11-2009
Invacare Tracer SX5 Serial Number 123456
Seat Size 18 x 16

Good Luck!
Sue Ray
R & R Discount Medical

[ChrisBarnppc1]

THANK YOU TO EVERYONE. You have all been very helpful today.