I bill for a psychiatry office in Florida. Currently, on our remittance advices, we have had a lot of non-payments (they are indicated as paid to the patient on the RA). The CARC and RARC codes don’t seem to give any reasons. My best assumption is that these are take backs for cost-sharing for patients that are dually qualified for both Medicare and Medicaid. We currently use a horrible billing system (Medisoft) and I’ve only recently taken over the billing. I’ve called Medicare and have gotten nowhere. Any advice or input is greatly appreciated!!

Thank you.