juliemiller
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We bill as an outpatient dept of a local hospital (not an ASC)
How are bilateral procedures supposed to be billed? We always billed Medicaid and Medicaid Replacement plans with 2 lines, the first w/ RT modifier and the second w/ LT modifier. They would not accept modifier 50. Now they are denying the 2nd procedure (with the LT modifier) and only paying for 1 side.
Also, how does the new methodology determine bundling (packaging) of codes into a single payment for certain procedures and discounting for multiple procedures?
Thank you in advance for your help!
How are bilateral procedures supposed to be billed? We always billed Medicaid and Medicaid Replacement plans with 2 lines, the first w/ RT modifier and the second w/ LT modifier. They would not accept modifier 50. Now they are denying the 2nd procedure (with the LT modifier) and only paying for 1 side.
Also, how does the new methodology determine bundling (packaging) of codes into a single payment for certain procedures and discounting for multiple procedures?
Thank you in advance for your help!