Please help - I am new to E/M coding -I have multiple denials with 99231 on multiple days. Any ideas to help with these denials to get paid. Thank you
The denials are for CO4 and CO97 ? These are all on seperate lines with different DOS. Thank you so much for responding. I'm new at E/M and Denials !
I researched and the providers are MD's - Nothing else billed on the same DOS for the same provider or any other provider in the same practice. Here is what I'm dealing with
Surgery on
06-18 99232 A1 and 57 modifiers added - paid
06-18 11470 paid
06-19 99231 - not paid
06-20 99231- not paid
06-21 99231- not paid
06-22 99231- not paid
06-23 99231 - not paid
06-24 99231- not paid
any suggestions? Thank you so much!
So, all the follow- up charges in the hospital should be wrote off since this is a global charge? They are related to the reason of surgery. Yes, Medicare. AI was used because as I said I'm new to E/M - error on my part. You have helped me so much today - Thank you. I am the only coder here and I have no one to converse with. I am so glad to be apart of AAPC !
Thank you for all your help - I will get with the ladies in our insurance office and I'm sure they appreciate all your help also !
PS. If you see my post for any questions in the future I hope you will respond !