• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Diagnosis question and payor policy

Create Wiki
L

librak1

Networker
Messages
31
Location
Ft Wayne, IN
Best answers
0
I have submitted a claim for a procedure and diagnosis to a primary payor which has paid according to guidelines and policy. Now the secondary payor is denying because of their guidelines. Is it unethical to change the diagnosis for the secondary payor, even when guidelines and policy are still being followed, in order for the remaining cost to be paid? Thanks for any suggestions.
 
Be a little more specific - (if you can type the note, that would be really helpful) - what did you bill, with what Dx, and who are the insurers? (Follow-up is my specialty - I may be able to help you with an appeal...);)
 
You must log in or register to reply here.
Top