jifnif
Expert
I am questioning an appeal situation with Medicare. Scenario is that our hospitalists were doing there own coding and now I am taking over that job. I am having a lot of charges come back that they had incorrectly coded. The rejection might state not medically necessary or something else. While researching the necessity I have found that the E/M should be downcoded. Can I appeal w/ a new CPT or even rebill with a new CPT? Hope that is clear. Thank you so much!