Hello - any help I can get on this will be greatly appreciated! I'm at my wits end.
I'm billing Medicare for critical care; 99291 plus 99292 (sometimes there are multiple 99292).
These are claims that are billed electronically, they are completely correct and appropriatly coded.
The documentation and time are consistent with the codes billed BUT they are all being denied by Medicare.
They all ask for a modifier. I've appealed them all and lost the first appeals.
I've tried using units for multiple 99292s and I've billed them all as separate line items.
Tried modifiers (59 and 25) nothing. Any other ideas or?
TIA
I'm billing Medicare for critical care; 99291 plus 99292 (sometimes there are multiple 99292).
These are claims that are billed electronically, they are completely correct and appropriatly coded.
The documentation and time are consistent with the codes billed BUT they are all being denied by Medicare.
They all ask for a modifier. I've appealed them all and lost the first appeals.
I've tried using units for multiple 99292s and I've billed them all as separate line items.
Tried modifiers (59 and 25) nothing. Any other ideas or?
TIA