So I bill in new york and when I bill Medicaid for patient's Medicare HMO's co-insurances, they now deny the second line item. If I bill 17110 and then 99212-25, they'll deny 99212 and pay 17110. If I bill 99212-25 & 17110, they'll deny 17110.
Their explanation is they bundle the two codes and now ignore modifier 25. They also said they'll only pay the first line item and not the second... apparently it is a "NEW" thing. Does anyone else have this problem?
Their explanation is they bundle the two codes and now ignore modifier 25. They also said they'll only pay the first line item and not the second... apparently it is a "NEW" thing. Does anyone else have this problem?