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Wiki Medicare Op reports

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dwmt1

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Hicksville, NY
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All of our procedures are being denied for Op reports. I started sending them directly to NGS with the paper claim, then billing them electronically. The claims are being denied because they cannot accept them on claim forms. I am trying to cut down on wait time for payments, does anyone have experience confused and if so please share. Thanks in advance. :confused:
 
For certain procedures such as category III codes, you might need to placed as an additional note on the claim so it will also appear electronically as such:

Documentation available upon request

When they send this they request the op report per a letter than it can be sent in that manner. But might also need to call customer service for a further understanding to the issue.
 
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