Question LCD denials

bar2ty@yahoo.com

Contributor
Messages
18
Location
Fuquay Varina, North Carolina
Best answers
0
Many of our claims are being denied for non-covered services because this is not deemed a medical necessity by the payer-based on LCD. I review the LCD list and the dx code is not listed, and there is no other dx code appropriate for px. Can we appeal these claims to get them paid? What are some steps we can do to get these claims paid? Please HELP!!
 

LisaAlonso23

Expert
Messages
447
Location
Sherman, TX
Best answers
0
Many of our claims are being denied for non-covered services because this is not deemed a medical necessity by the payer-based on LCD. I review the LCD list and the dx code is not listed, and there is no other dx code appropriate for px. Can we appeal these claims to get them paid? What are some steps we can do to get these claims paid? Please HELP!!
Which insurance and what are the procedure & diagnosis submitted?
 
Top