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Wiki Venipuncture - Why do some of the Medicare

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donnareese

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Why do some of the Medicare advantage plans deny a routine venipuncture? Specifically Coventry. I have one patient that come into the office for regular lab draws and I am having issues getting the 36415 to be paid. Help please?! Thanks.
 
Venipunture denials

We are having the same issue, but with AARP/UHC Medicare - Silver back, CareNCare and NTSP. We submit the charge with office visit and then they pay the office visit but tell us to submit the venipuncture to the patients direct insurance. So we bill directly to Medicare, Secure Horizons and then the claim comes back as the patient can't be found. After all that I submit an appeal to AARP/UHC and somehow the claim gets paid. It is ridiculous. Any suggestions or help would be great. Tonia
 
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