Cpg26b
Guest
Our office has started receiving denials from BCBS from various different plans that are denying for medical necessity and non-covered. Looked into BCBS policy details and shows that medical necessity for anesthesia services has been revised to a very slim criteria that must be met in order for medical necessity to be met. Has anyone else been seeing these denials, and noticed a trend? Our office has tried requesting prior authorizations for these codes and are told a prior authorization may not be started as it is non-covered. What options do we have for our patients during their procedures EGD/Colonoscopy for Anesthesia? Has anyone found a different method for our CRNA's?