I am having trouble with Health Net Federal Services reimbursing Mohs procedures when multiple units are billed on one line. Also they are still applying modifier 51 to the first repair procedure. It's obvious their system edits are not correct and they have told me it does not matter what modifier I attach to the procedure their edits will over ride. I am having to do appeals on all these claims. There are no other Dermatoligist in my town that perform Mohs so I am unable to ask anyone if they are also having this issue this same carrier issue. If someone is also experiencing this same problem I would very much like to discuss what avenues you have taken to get the matter resolved. I have run out of ideas at this point but very much welcome new ones.
Thanks for reading this. I look forward to hearing from you.
Thanks for reading this. I look forward to hearing from you.