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Thread: Denials for Depression etc.

  1. #1

    Default Denials for Depression etc.

    AAPC: Back to School
    Hi there all!

    I am receiving a lot of denials for depression and anxiety for family practice physicians saying that the office visit is not covered for this diagnosis.

    My co-workers are telling me that sometimes insurance companies will cover these when you send an appeal that the condition was "organic". However, I am finding that these appeals are not getting paid. I don't want to waste my time appealing claims that won't be paid over and over again.

    I am thinking that these patients just don't have mental health benefits and that is why they won't pay. Of course, I could be wrong, which is why I am here and I would love to hear what experience everyone has had with this.


  2. #2
    Join Date
    Apr 2007
    Louisville, KY


    I think, too, that insurance companies are pushing patients to be managed by mental health professionals for their issues. You can always request the insurance company to give its logic.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

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