heart123
Guest
UHC asks for medical records i send them and they say not supported
can i then re-code to a lower level cpt and get paid ???
can i then re-code to a lower level cpt and get paid ???
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Wiki billing question
- Thread starter heart123
- Start date
heart123
Guest
hospital visits
daedolos
Expert
Find out what the actual denial was for. Could it be an incorrect field entry on the HCFA or a wrong diagnosis code? Find out.
Peace
@_*
Peace
@_*
MonarchMedBill
Guest
Yes!
You absolutely can down-code. However, it really depends on the reason for the denial. If it is diagnosis related, you will need to research to make sure the correct dx were submitted. If the insurance is strictly denying for the level of care, and your progress notes support it, then down-coding is, in my opinion, your best option.
You absolutely can down-code. However, it really depends on the reason for the denial. If it is diagnosis related, you will need to research to make sure the correct dx were submitted. If the insurance is strictly denying for the level of care, and your progress notes support it, then down-coding is, in my opinion, your best option.