How many are seeing denials from Medicare Managed Care (also Medicaid) for the payer not recognizing our provider specialties. I work in Cardiology and we have a growing number of denial stating the patient is not New and to rebill as an established patient, service bundled, etc. They are clearly new patients for that particular specialty and will not overturn denials even with an appeal. I was wondering what others are doing to fight these denials. We have already appealed stating different provider specialty and different diagnosis.