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Wiki Mue/testopellets

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svanhorn73

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Clover, SC
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We are receiving denials from Medicare for testopellets. Can anyone provide me with the information on how many units we can implants and the correct way to bill this. I am about to pull my hair out. I have four physician that need this answer. I have sent an email to someone at Medicare. Still waiting.:confused::mad:
 
We have found that Medicare will deny the drug, then our Medicare person sends in the invoice in a redermination letter. We bill out 11980 and J3490, qty 10 (we use 10 pellets), then in box 19 we write in Testopel 75mg x 10 pellets plus the NDC #. For a box of 10 the ndc is 43773-1001-02.

Unfortunately we have not received payment yet. Other commercial carriers like BCBS have paid. Sorry this is not good news.

Karen Cross, CPC, CPMA, CEMC, CUC
 
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