We have been getting denied reimbursement from all but state Medicaid for the S3620 ($190.50) the state charges our clinic/birth center for the state mandated newborn metabolic screening. I talked with the state program and how the legislation reads, the program can't charge the patient directly and it is supposed to be 100% covered by the health plans per state and federal law. We collect and prepare the blood samples the send it off to the state lab, our clinic gets the bill. I have spent 2 months searching every thing I can find to make sure I am billing it correctly, and it appears that I am. I have spent close to 60 hours on the phone with various insurance companies trying to get it pushed through.
Any ideas?
Any ideas?