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Thread: Amerigroup requiring LMP date

  1. #1

    Default Amerigroup requiring LMP date

    Is anyone else getting denials from Amerigroup or any other insurance company requiring the LMP (last menstrual period) date when billing 76801,76812,76815,76818?

    They are denying all our procedures listed above stating the LMP is required in field 14. I have left messages with no return phone calls. I also contacted the Ohio department of Insurance trying to get a copy of this new law Amerigroup is stating is now a requirement.

    Just wondering if anyone else is having the same problem and if you can supply me with any additional information.

    They are the ONLY insurance company denying these codes for the LMP date requirement.

    Thanks
    Jenny
    jennifran

  2. #2
    Join Date
    Apr 2007
    Location
    Tacoma, WA
    Posts
    1,086

    Default

    Quote Originally Posted by jawaters5 View Post
    Is anyone else getting denials from Amerigroup or any other insurance company requiring the LMP (last menstrual period) date when billing 76801,76812,76815,76818?

    They are denying all our procedures listed above stating the LMP is required in field 14. I have left messages with no return phone calls. I also contacted the Ohio department of Insurance trying to get a copy of this new law Amerigroup is stating is now a requirement.

    Just wondering if anyone else is having the same problem and if you can supply me with any additional information.

    They are the ONLY insurance company denying these codes for the LMP date requirement.

    Thanks
    Jenny
    I generally would use the LMP date as the onset date when billing these codes anyway. Some of the U/S codes are based on weeks of pregnancy, so it is understandable they would need that info to confirm the coding is correct.
    Arlene J. Smith, CPC, CEMC, COBGC
    AAPC Tacoma WA Chapter

    President 2015
    Past-President 2013 and 2011
    President-Elect 2010
    Member Relations 2008
    AAPC NAB 2007-2009

  3. #3

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    Our problem is we are a hospital based radiology group and we do not have any access to this information. We will have to make phone calls to the referring physcians for this information.
    jennifran

  4. #4
    Join Date
    Apr 2007
    Location
    Tacoma, WA
    Posts
    1,086

    Default

    Quote Originally Posted by jawaters5 View Post
    Our problem is we are a hospital based radiology group and we do not have any access to this information. We will have to make phone calls to the referring physcians for this information.
    Yep, and that is information the referring physician should be sending you with the referral. If you make sure you have the info up front you will not get the denials.
    Arlene J. Smith, CPC, CEMC, COBGC
    AAPC Tacoma WA Chapter

    President 2015
    Past-President 2013 and 2011
    President-Elect 2010
    Member Relations 2008
    AAPC NAB 2007-2009

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