ollielooya
True Blue
Patients who visit our pain management doctor are sometimes in the office many hours over the course of which multiple injections may be administered. We are faced with two ways of billing: bill out one line with modifier 59 on multiple lines or 2) bill with one 96372-59 x number of units. Both methods result in issues of either duplicate denials (especially when splitting the claim over into a new page) or by billing one line with multiple units and attaching modifier 59 (not all the injections will pay). I always place a description in box 19, yet the claims are never processed cleanly and we have to call and explain to customer service that the injections "spilled" over into a 2nd page of the claim. We try to keep all injections on one page, but sometimes this just won't work. So, we're continally on the phone explaining the issues to customer service reps. Wish the claim form had more than six line items per page. Surely, there must be a simpler way to avoid these denials. IS there a workaround? Would this be something that could be taken up as a contractual issue, or?????
---Suzanne E. Byrum CPC
---Suzanne E. Byrum CPC