Medicare is rejecting my claim stating "Payment is adjusted when performed/billed by a provider of this specialty"
The provider is a PhD, Clinical Psychologist.
I contacted Medicare and the supervisor agreed that this rejection is not accurate. She was unable to put the claim back through and referred me to the AH modifier fact sheet for resolution. This modifier was not required in the past. I resubmitted the claim with the modifier and received the same rejection.
Any input is greatly appreciated!!