Wiki BILLING QUESTION

[Pkirsch1]

We charged Medicare a 90834 and they paid. After they paid, the provider wanted to change it to a 90832. What to do?

 

[csperoni]

If the 90832 is in fact the correct code, you should submit a CORRECTED claim (reference the original claim #) to the carrier. I suggest you check your MACs website for particular instructions. Once the corrected claim is processed, the carrier should reverse the original payment and approve the correct payment. If a refund is due, ensure you promptly submit the refund per your MACs guidelines.

 

[newbergt]

depending on your medicare contractor.. (we have WPS) they don't accept corrected claims .. you have to void the claim and resubmit a new claim the new code

 

[sumithratc]

We charged Medicare a 90834 and they paid. After they paid, the provider wanted to change it to a 90832. What to do?

After it paid, we can resubmit with changed CPT as VOID claim