JodiLynn
Contributor
Did anyone else start receiving denials for O.V mid December anytime it was billed with any vaccine or testing ( 87880,86308, ect) ? We are pediatrics...and yes we are billing with the correct modifiers. Its across the board, not even plan specific within Humana. I'm reaching out to my Humana rep but since we are through an IPA, its kind of a process. To make matters worse we are no getting refund request for OV billed September and on. stating its "overpaid due to coding issues related to claim history"
this claim was billed as follows 99213 -25 and then 90658 & 90460 there is no reason to take the $$ back. I fear there is a claim edit in their adjudication system that's went hinky. So I'm curious, has anyone else had any issues?
this claim was billed as follows 99213 -25 and then 90658 & 90460 there is no reason to take the $$ back. I fear there is a claim edit in their adjudication system that's went hinky. So I'm curious, has anyone else had any issues?