cvand1972
Guru
Now we all know that the remote interrogations can only be billed every 90 days. However, in the instance that there's a circumstance that requires us to interrogate the device before that 90 day period is up, our Providers want to be able to bill for it and get paid. Has anyone tried appealing anything like this and were you successfull?
For example, a patient has his device interrogated on 6/1. He's not scheduled for another interrogation until 9/3, but in between that time something might cause him to need another interrogation say on 7/1 so we remotely interrogate it. Our Providers want to be able to bill for this. Now, I have no problem billing for it and receiving the denial. But is it even worth it to appeal it for 'medical necessity' reasons??
For example, a patient has his device interrogated on 6/1. He's not scheduled for another interrogation until 9/3, but in between that time something might cause him to need another interrogation say on 7/1 so we remotely interrogate it. Our Providers want to be able to bill for this. Now, I have no problem billing for it and receiving the denial. But is it even worth it to appeal it for 'medical necessity' reasons??