Can someone please clarify if there is any documentation to support that if we have a global contract with a payer we should only bill the services we will be paid for?
For example in the Urgent Care we are billing S9083 global code but are still being asked to bill out the x-rays even though we know we are only getting reimbursed for S9083 and the x-rays are being denied. I was always under the impression that we should be billing out clean claims and not for services we are not contracted for payment. Can someone please assist me?
Thank you
For example in the Urgent Care we are billing S9083 global code but are still being asked to bill out the x-rays even though we know we are only getting reimbursed for S9083 and the x-rays are being denied. I was always under the impression that we should be billing out clean claims and not for services we are not contracted for payment. Can someone please assist me?
Thank you