Today has been a blue cross blue shield nightmare day. I have had 3 outpatient consults come back to me from them stating they will cover a new patient visit but not a consult.
These really are consults. All the requirements are met. I am at a loss. The patients of course want us to rebill, but how can we when it is correct as is?
Is anyone aware of commercial carriers stopping payment on consults already? I figure they will if CMS does but that hasn't happened yet. These are not HMO plans, just straight BC/BS of Michigan.
Thanks
Laura, CPC, CEMC
These really are consults. All the requirements are met. I am at a loss. The patients of course want us to rebill, but how can we when it is correct as is?
Is anyone aware of commercial carriers stopping payment on consults already? I figure they will if CMS does but that hasn't happened yet. These are not HMO plans, just straight BC/BS of Michigan.
Thanks
Laura, CPC, CEMC