WebPT Ideas and Discovery

THE FB and WO are not listed within Therabill on the ERA provided by Medicare.  When there is an overpayment or amount Medicare is to "recoup", they send an ERA showing what the correct processing/payment should look like and any amount due back to Medicare is listed on the ERA as a FB forwarding balance to alert the provider. It is a 2nd notification remittance advice that is to inform there is an overpayment and the adjusted claim will appear on this new ERA, however, Therabill posts it as an actual recoupment/ offset incorrectly and nowhere does it list "FB".

After the 2nd notification, if the provider has opted for offsetting, Medicare will send an offset remittance advice to show the money which has then been deducted. This ERA will include "WO" for withholding offset.  At this time, this is not something Therabill shows when reviewing the ERA in "Remittance Advice" or "Report" form however, when I open the 835 file, I can see the 'FB' listed in PC print.

My request is that the remitts include ALL PLB codes so that we can determine if in fact, the money has truly been recouped/offset or if the balance is still outstanding.

Reversals are being posted that are not actual reversals. I have multiple checks from Medicare that are X amount but due to the fake reversal posted, report wise , it is showing a different amount ( lower then what the true check amount is). As a billing service, if we are invoicing the provider based off of money posted, we are invoicing for a posted amount that is lower than the true check amount received thanks to a reversal being posted when Medicare did not recoup/offset any amount.