• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Payer Changing Submitted Codes

Create Wiki
S

shellott

Guest
Messages
27
Location
Everett, Washington (20622)
Best answers
0
I am wondering if any one has experianced a Health Insurer applying payer discount or denying a submitted code and then addding and paying on a similar code.

Example: Pt. changed insurance late in the pregnancy and we billed the new insurer for the delivery and postpartum care only and they denied the 59410 and added 59400 to our claim and paid that code.

I am wondering if this occurs alot with OB/GYN claims due to payer policies and if this happens to other procedures as I deal with multiple specialties. Any thought would be appriciated. Thanks Shellott
 
You must log in or register to reply here.
Top