Wiki Medicare Op reports

[dwmt1]

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.

 

[dwaldman]

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.