kimgreening
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Question on Covid pre procedure screening nurse visit, 99211.
Regence wants certain dx codes and modifier which I understand Insurance’s have their own policy.
I notified my manager there should be no cost share to patient. She has instructed us to adjust off the balance of the patient complains. If the patient does not complain and already paid we are keeping their money.
Aren’t we suppose to treat all patients the same, if we adjust off cost share for one Regence patient shouldn’t we for all Regence patients? She disagrees, actually states it cost too much money for us to work these claims over for the small charge we bill for a nurse visit. This makes me nervous if there was an audit.
Regence wants certain dx codes and modifier which I understand Insurance’s have their own policy.
I notified my manager there should be no cost share to patient. She has instructed us to adjust off the balance of the patient complains. If the patient does not complain and already paid we are keeping their money.
Aren’t we suppose to treat all patients the same, if we adjust off cost share for one Regence patient shouldn’t we for all Regence patients? She disagrees, actually states it cost too much money for us to work these claims over for the small charge we bill for a nurse visit. This makes me nervous if there was an audit.