kayleeevans907
Networker
I am running into a problem with one payer denying claims that have dexamethasone attached. Our providers generally administer 10mg so we charge 40 units of J8540 (.25mg per unit). The payer I'm having trouble with will only pay for 4 units (1mg).
Is there anything I can do to at least get paid for the 4 units instead of having all 40 denied? My 1st idea is to split the charges into separate line items (one with 4 units the other with the remaining 36) so that less are denied but something about that still feels kind of wrong to me.
Thank you
Is there anything I can do to at least get paid for the 4 units instead of having all 40 denied? My 1st idea is to split the charges into separate line items (one with 4 units the other with the remaining 36) so that less are denied but something about that still feels kind of wrong to me.
Thank you