dreampeddler
Guest
Good Morning, Everyone!
I'm coming at this question from a payer's perspective. We have received two separate bills for lab charges. One for a 81003 from a clinic and one for a 81015 from a hospital.
The hospital owns the clinic, and both share the same federal tax number, as well as the same pay-to address. Our system wants to kick these charges out as denials, stating that they rebundle into a 81001. The provider disagrees.
Has anyone else experienced a similar situation, from either end? Did you take the same action our system/management feels is correct?
Thanks!
Jodie, CPC
I'm coming at this question from a payer's perspective. We have received two separate bills for lab charges. One for a 81003 from a clinic and one for a 81015 from a hospital.
The hospital owns the clinic, and both share the same federal tax number, as well as the same pay-to address. Our system wants to kick these charges out as denials, stating that they rebundle into a 81001. The provider disagrees.
Has anyone else experienced a similar situation, from either end? Did you take the same action our system/management feels is correct?
Thanks!
Jodie, CPC