Lhorn
New
I wanted to know if anyone else is having a problem with Medicare and how they are billing consultations.
We are following the guidelines and appropriatley coding consultations in the hospital with the correct initial hospital care code, but are receiveing denials against the actual initial H&P that was rendered.
Example: Cardio bills a consult on date of service 7/3/10-99255 and we crosswalk to 99223INT MED already billed an H&P-99223 on date of serivce 7/2/10
Medicare denies the cardio doc as this service partially or fully furnished by another provider. We appeal and denial is still uphelp. After the second level appeal to QIC we get paid, but we shouldn't have to appeal!
We are also seeing these denials in office place of service. We are currently looking into how our claims are going out and being recieved.
Can anyone help?!
We are following the guidelines and appropriatley coding consultations in the hospital with the correct initial hospital care code, but are receiveing denials against the actual initial H&P that was rendered.
Example: Cardio bills a consult on date of service 7/3/10-99255 and we crosswalk to 99223INT MED already billed an H&P-99223 on date of serivce 7/2/10
Medicare denies the cardio doc as this service partially or fully furnished by another provider. We appeal and denial is still uphelp. After the second level appeal to QIC we get paid, but we shouldn't have to appeal!
We are also seeing these denials in office place of service. We are currently looking into how our claims are going out and being recieved.
Can anyone help?!