pmaccallum
New
I work for radiology diagnostic practice at a hospital. We have denials from Medicare for "other physician already paid". The ER physicians are billing 99284 and 99285 plus the professinal component of our radiology services as if they are writing the reports. They are submitting these claims to Medicare in 6 days (1 day before us). ex.
73610/26LT and 99284
We have over 400 claims denied because the same ER physician group is billing one day before us.
If they are asked to provide a radiology report as they are billing for, they cannot becuase that is not their taxonomy.
Can the ER physicians code for the report and the E/M interpretation to resolve immediate patient complaint?
If they are allowed, can we append another modifier besides 26 and 77 to get medicare to pay the claims w/o coming back as duplicate?
Thank you,
73610/26LT and 99284
We have over 400 claims denied because the same ER physician group is billing one day before us.
If they are asked to provide a radiology report as they are billing for, they cannot becuase that is not their taxonomy.
Can the ER physicians code for the report and the E/M interpretation to resolve immediate patient complaint?
If they are allowed, can we append another modifier besides 26 and 77 to get medicare to pay the claims w/o coming back as duplicate?
Thank you,