Good morning fellow listers....
We know that Medicare is no longer going to pay for consultation codes.
My question is this:
Primary payer will pay for consultation codes.
Secondary Payor is Medicare.
So if we submit the service to the primary payor and they pay 100% then we do not have an issue but if the primary payor does not pay at 100% and we have to submit to secondary insurance how will this be handled as Medicare will not pay for consultation codes? Do we change the consult code to one of the crosswalk codes and then submit to the secondary?
Soooo confusing!!!! Thanks
We know that Medicare is no longer going to pay for consultation codes.
My question is this:
Primary payer will pay for consultation codes.
Secondary Payor is Medicare.
So if we submit the service to the primary payor and they pay 100% then we do not have an issue but if the primary payor does not pay at 100% and we have to submit to secondary insurance how will this be handled as Medicare will not pay for consultation codes? Do we change the consult code to one of the crosswalk codes and then submit to the secondary?
Soooo confusing!!!! Thanks