suemt
Expert
Does anyone know where to find information about how to bill when some procedures are authorized/approved, but not others?
I know any complications for unauthorized procedures are not covered, but what happens when, for example, a patient has an authorized procedure performed on Monday, then returns on Thursday for a follow up visit and to have an unauthorized (cosmetic) procedure performed?
Or if an authorized venous ablation is performed the same day as an unapproved spider vein treatment? Or right authorized vs. left not authorized?
Do you bill the entire procedure and then expect only the authorized procedures to be paid? Do you only bill the authorized procedures although the documentation will reflect all procedures performed?
Thanks in advance for any feedback or links.
I know any complications for unauthorized procedures are not covered, but what happens when, for example, a patient has an authorized procedure performed on Monday, then returns on Thursday for a follow up visit and to have an unauthorized (cosmetic) procedure performed?
Or if an authorized venous ablation is performed the same day as an unapproved spider vein treatment? Or right authorized vs. left not authorized?
Do you bill the entire procedure and then expect only the authorized procedures to be paid? Do you only bill the authorized procedures although the documentation will reflect all procedures performed?
Thanks in advance for any feedback or links.