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McKesson Edits

  1. Default McKesson Edits
    Medical Coding Books
    Does anyone else have problems with denials coming from the McKesson edits? Has anyone had any luck in appealing these denials?

  2. #2
    Our group has had to enter the codes into mckesson and see how they want it coded. The collectors then change the claim to that way and bill a corrected claim. You won't believe some of the responses you will get. They aren't according to CPT rules or any other rules you have seen before.


  3. Default
    So how do you get access to the McKesson edits to enter in your codes?

  4. #4
    Greeley, Colorado
    Carriers such as Cigna and BCBS who use McKesson edits have claim check sections where you can enter the codes to see what will be paid/denied and also determine if denied codes will pass their edits with modifier -59.
    Lisa Bledsoe, CPC, CPMA

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