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BCBSIL E/M downcoding for behavioral health claims

R

Ree923

Contributor
Messages
17
Location
Bolingbrook, IL
Hello, I've been seeing the downcoding (as we all have) on E/M billing and while I have started to do appeals, I am wondering if there is anything I should add to the requests to get them processed at the higher level? Medical records are being sent, but is there anything else I should review? Is ICD-10 coding just as important? How are you all getting these approved for the correct payment?
 
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