missyah20
Guru
Good Afternoon,
We received a denial from Medicare for a CRNA performed Erector Spinae block billed with code 64999. The redetermination letter states that they are denying this as they do not consider the providers current qualifications as a CRNA to be sufficient to provide the service and there is no evidence to support the practitioner has undergone training to be able to provide the service in this state. The state this was performed in is Arkansas.
Does anyone have any suggestions on what I can do from here? BON state scope of practice are usually pretty vague and I don't know if that would be enough to satisfy Medicare.
We received a denial from Medicare for a CRNA performed Erector Spinae block billed with code 64999. The redetermination letter states that they are denying this as they do not consider the providers current qualifications as a CRNA to be sufficient to provide the service and there is no evidence to support the practitioner has undergone training to be able to provide the service in this state. The state this was performed in is Arkansas.
Does anyone have any suggestions on what I can do from here? BON state scope of practice are usually pretty vague and I don't know if that would be enough to satisfy Medicare.