Ok - how do you determine if a lab is truely ordered due to a diagnostic reason or as a screening. As a biller I'm constantly getting calls - if you would file it differently my insurance says they will pay.
Grey area - patient had history of something - not on meds - ???
Or another posibliity Patient on meds for specific problem - such as high TG- when we recheck labs is it due to high TG or screening?
As a biller - plus customer service person - my providers want me to figure out a way to make everyone happy - but my question comes back to soo often when labs are ordered it is sometime a grey world to me how to correctly code. If it looks reasonable to refile the opposite way I have refiled with records but really would like some ideas from experienced people how they did with the lab diagnostic issue.
Grey area - patient had history of something - not on meds - ???
Or another posibliity Patient on meds for specific problem - such as high TG- when we recheck labs is it due to high TG or screening?
As a biller - plus customer service person - my providers want me to figure out a way to make everyone happy - but my question comes back to soo often when labs are ordered it is sometime a grey world to me how to correctly code. If it looks reasonable to refile the opposite way I have refiled with records but really would like some ideas from experienced people how they did with the lab diagnostic issue.