babocik95
New
We just recently went to ECW and we cannot get reimbursed for preventive care visits on children. We are using the EP modifier with the CPt codes. our denial reason states attending provider not eligible on service dates. and B7=This provider was not certified/eligible to be paid for this procedure/service on this date of service. Example is 99392 EP with DX codes Z00.129 and Z23. Pt is four years old. Strange thing is we get paid for sick child visits under this provider. Can anyone please help not for sure if it is coding issue or problem with set up in ECW. Thanks in advance.
Barbara
Barbara