aarnold13
Networker
We had a patient that came in for a "sports physical" and it was billed with DX V70.3 and our sports physical code (99213SP). The documentation stated "patient here today for a sports physical" and there is the vision test and then the rest says "see sports form for remaining information". The mother is upset because we didn't bill this as a yearly wellness physical. She says that her insurance told her that all we have to do is recode the visit(99394) and use a different dx(V70.0 or V20.2) and have the dr ammend their notes and then it will be paid. CAN WE DO THAT?!?! I told the mother that it is my understanding that this would be committing insurance fraud if we were to do this. Of course the difference between a yearly wellness exam and a sports physical is about as clear as mud to me so it is hard to fully get the patient to understand why we are billing it as such. Can someone please help clarify this for me?
THANKS A TON!!
Angie
THANKS A TON!!
Angie