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Corrected Claims

  1. #1
    Location
    Idaho Falls, Idaho
    Posts
    197
    Default Corrected Claims
    Medical Coding Books
    I have a senario that I would like some opinions on...

    Ultrasound billed under doctor in error, needs to be billed under our on staff ultrasound tech. Claim already paid. I would send corrected claim to insurance. Some people want to just change the claim in our system, apply money and contractional as is.

    Thoughts???
    Tesja Erickson, CPC, CPMA COBGC, CEMC
    The Coding Surgeon
    Medical Documentation & Coding Consultant
    codingsurgeon@tesja.com
    2012 AAPC Idaho Falls Chapter President
    2011 AAPC Idaho Falls Chapter President-Elect

  2. #2
    Location
    The Savannah, GA Chapter
    Posts
    6
    Default
    I would not as it would be a type of fraud! I would say to call the insurance company and let them know what happened, and let them know that you will send in a corrected claim. They may wait to process the corrected claim until you have refunded them the money for the first claim.

  3. Default
    I would definitely contact insurance and let them know the situation. They will advise you on how to send in corrected claim.

    Jenna

  4. #4
    Default
    I would also correct with the insurance. Sending a corrected claim with a cover letter.

  5. #5
    Location
    Idaho Falls, Idaho
    Posts
    197
    Default
    Thank you so much!
    I just wanted some support when I present this to my manager.
    Tesja Erickson, CPC, CPMA COBGC, CEMC
    The Coding Surgeon
    Medical Documentation & Coding Consultant
    codingsurgeon@tesja.com
    2012 AAPC Idaho Falls Chapter President
    2011 AAPC Idaho Falls Chapter President-Elect

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