sunitabacchus
Contributor
Hello.
We are coming across an issue where Medicare is bundling some of our claims.
Example: Patient comes in on 5-1-13 has office visit, gets a couple injections, has EKG, and gets cryo of a wart (cpt 17000). Patient comes back on 5-8-13 because they've got a cold now.
When we send out the 5/8 claim, its coming back denied because Medicare thinks it belongs with the 5/1 DOS. (Yes, we know that MOD-25 needs to be on the 5/8 claim, but we don't remember this until we get the claim back denied.)
What does your office do in this scenario if you go to bill for the DOS 5-8-13, and you don't remember that the patient was just there 7 days prior, to prevent the claim from being denied?
Thank you!
We are coming across an issue where Medicare is bundling some of our claims.
Example: Patient comes in on 5-1-13 has office visit, gets a couple injections, has EKG, and gets cryo of a wart (cpt 17000). Patient comes back on 5-8-13 because they've got a cold now.
When we send out the 5/8 claim, its coming back denied because Medicare thinks it belongs with the 5/1 DOS. (Yes, we know that MOD-25 needs to be on the 5/8 claim, but we don't remember this until we get the claim back denied.)
What does your office do in this scenario if you go to bill for the DOS 5-8-13, and you don't remember that the patient was just there 7 days prior, to prevent the claim from being denied?
Thank you!