ChristieH
Guest
Physician bills a consult 99254 to a commercial ins but Medicare doesn't pay consult codes. How do we get Medicare to process the sec claim? Do we change the 99254 to an equivalent MC code?
I had a MC rep tell me after they deny to call the clerical reopen line and tell them to change the code (99223) and ask them to reprocess with corrected CPT. It worked once and then failed once.
Your thoughts are greatly appreciated,
Christie
I had a MC rep tell me after they deny to call the clerical reopen line and tell them to change the code (99223) and ask them to reprocess with corrected CPT. It worked once and then failed once.
Your thoughts are greatly appreciated,
Christie