Wiki ACP secondary payer issue 99497, 99498

[Jessica Ann]

We are having an issue when billing our ACP visits with 99497, 99498. CMS is paying, but the secondary insurer is applying a co-pay of 20-45$ on the ACP claim. When asked CMS they said they have no influence on secondary payers so we are just trying to figure out what we need to do in this case?

thanks in advance for the help!

 

[CodingKing]

I cant remember does CMS cover with no patient liability? If so, secondary should not be billed as there is no patient liability.