aarnold13
Networker
This is so irritating! A 3 year old patient has a panel of lab work drawn because her mother stated that she was having excessive thirst. She wanted us to test her daughter for juvenial diabetes. We billed the lab work out as polydipsia. The mother is upset because these labs were applied to her deductible because they were not billed as routine and that, according to BCBS, all we have to do is rebill it as routine and they will cover it 100%. Well, the labs were not routine as she was symtomatic. She proceeded to say that BCBS compared this to a pregnancy test. If a patient has a pregnancy test drawn and it comes back negative then it can be billed as routine because the thing that was tested for was not found. Since all of her daughter's labs came back normal so juvenial diabetes was not found.
Now I am utterly confused....Can I change the diagnosis on these labs?? It doesn't seem to be that a panel testing for juvenial diabetes would ever be considered routine.
Now I am utterly confused....Can I change the diagnosis on these labs?? It doesn't seem to be that a panel testing for juvenial diabetes would ever be considered routine.