klen
Contributor
Hi Coders,
My urologist submitted a claim that was initially paid, but they are now requesting a refund stating that our service was overlapping an inpatient hospital stay. We saw the patient in our office and had no indication that he was going to be admitted to the hospital. So, my question is...Is there a modifier that we can use on our claim to show that our service does not overlap the IP stay? We billed our claim with POS 11, but the Medicare representative told us to rebill with POS 21, which is completely incorrect since we saw the patient in office.
Any help would be greatly appreciated.
My urologist submitted a claim that was initially paid, but they are now requesting a refund stating that our service was overlapping an inpatient hospital stay. We saw the patient in our office and had no indication that he was going to be admitted to the hospital. So, my question is...Is there a modifier that we can use on our claim to show that our service does not overlap the IP stay? We billed our claim with POS 11, but the Medicare representative told us to rebill with POS 21, which is completely incorrect since we saw the patient in office.
Any help would be greatly appreciated.