Denials for global charges

NVobgynCoder

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Hi all,

I am just looking for input on denials for charges during the global period. I get a lot of denials from Aetna and United Healthcare for office visits due to a complication because the patient is pregnant.

Do you have any luck in appealing the claims? If so, maybe I could get some sample letters that you are having luck with?

I want to appeal these charges but don't know if it's worth the time and extra work to do it.

It's that unending frustrating cycle of having to fight the insurance!

Any input and comments would be great! :)

Thanks!
Claudia
 
One way around this is the bill the global charges for 8-10 visits, then bill for the extra visits the patient was seen over 10. You will probably have to provide dictation anyway showing the patient was seen additionally for complications for the extra visits, and this way will be much easier on you so the complicated visits aren't being denied.
 
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