Wiki Amerigroup pulled charges from 2014

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heartyoga

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We had a location error for EKGs charged in 2014. The computer defaulted to "Office" for 93010 but should have been inpatient.

Amerigroup recouped the payments. Is there not a statute of limitations that insurances can do that? It seems unfair that we are subject to timely filing but insurances are given the free hand to look for minor errors and recoup.

Any thoughts?
 
the statute of limitations does not apply if you coded it incorrectly. by using the incorrect POS you coded the claim incorrectly and benefited monetarily as POS 11 will pay higher than the POS of 21.
 
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