RebeccaWoodward*
True Blue
We have received some denials pertaining to our cast re-applications. These denials are coming from NC BCBS State Plan. They are bundling them into the global period. We have not had any problems with the other BCBS plans. I have made an inquiry to medical review and hope to receive an answer soon. In the meantime, has anyone else experienced this issue? We are not trying to bill an office visit in addition to the re-application and the fracture care care was performed on a previous date. We are using modifier 58, also. Someone has eluded that there are different guidelines for the State Plan. Does anyone know what these might be?
Thoughts?
Thoughts?