seanny
Networker
Although Medicare now recognizes 95885 & 95886 as add-on codes to the primary NCS procedure, Medicaid is still denying EMG's as primary payor. This is despite them paying on EMG's secondary to Medicare.
Medicaid has changed the denial code from "mammography code/bundled with primary procedure" to "claim lacks documentation for adjudication."
I will appeal the new denials, just as I have appealed about 5 per week, but Medicaid takes way too long to process the redetermination, and it takes way too long to get through on the phone.
Has anyone had any luck getting EMG's paid by Medicaid (we are in NC)? I am running out of patience with the appeals process and am hoping for an easier/quicker way. They just keep coming up with excuses.
Thanks
Medicaid has changed the denial code from "mammography code/bundled with primary procedure" to "claim lacks documentation for adjudication."
I will appeal the new denials, just as I have appealed about 5 per week, but Medicaid takes way too long to process the redetermination, and it takes way too long to get through on the phone.
Has anyone had any luck getting EMG's paid by Medicaid (we are in NC)? I am running out of patience with the appeals process and am hoping for an easier/quicker way. They just keep coming up with excuses.
Thanks