• 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 Re-submitting claims

ACE

New
Messages
5
Location
Oroville, CA
Best answers
0
We had a service on a claim denied because we did not include the diagnosis that supported the service. It was an oversight and we asked the biller to re-submit the bill to include the appropriate icd9 code. The documentation supports the icd9 and we have documented the error on hard copy. She states because it is a M-Care Advantage insurance it may trigger future audits. Also, she also states it would have to be an appeal, not a re-submit (I don't understand this part.) Does anyone have any feedback on this?
 
Top