RAND
Guest
Our office has recently been solicited by Cardionet concerning the Mobile Cardiac Telemetry Holter Monitors, we have some concerns regarding the billing of these services.
Medicare guidelines state to use the unlisted code of 93799-26 with only one unit to be billed. Yet, Cardionet states for commerical carriers we are to bill 93237 with multiple units, except for Aetna who we are to bill with the S0347 with only one unit to be billed. My concerns lies in three different codes the same service and the issue of units, if Medicare states "one unit only" how could it be correct to bill multiple units for the other carriers. Not to mention the billing concerns on the patient side when two different EOB's arrive for this service. My apologies if this is a basic question to some of you experience coders out there , but I am in a learning curve here and I have ethical and legal concerns in this area of billing.
Tami Rand, C.P.C.
Fort Worth Heart, P.A.
Fort Worth, Tx
Medicare guidelines state to use the unlisted code of 93799-26 with only one unit to be billed. Yet, Cardionet states for commerical carriers we are to bill 93237 with multiple units, except for Aetna who we are to bill with the S0347 with only one unit to be billed. My concerns lies in three different codes the same service and the issue of units, if Medicare states "one unit only" how could it be correct to bill multiple units for the other carriers. Not to mention the billing concerns on the patient side when two different EOB's arrive for this service. My apologies if this is a basic question to some of you experience coders out there , but I am in a learning curve here and I have ethical and legal concerns in this area of billing.
Tami Rand, C.P.C.
Fort Worth Heart, P.A.
Fort Worth, Tx