cmedina969800
Networker
Hello,
I have a patient who came in for a CPE, but his insurance denied due to "max benefits paid for service." Patient called his insurance (PacificSource) and was told to have the office visit changed to an actual OV rather than the preventative service and then they will cover it. The chart note is clearly a "preventative" exam. I am not comfortable changing it to an actual OV.
Does anyone have any feedback they can provide? Is this even legal to do?
Thanks,
Christina, CPC-A
I have a patient who came in for a CPE, but his insurance denied due to "max benefits paid for service." Patient called his insurance (PacificSource) and was told to have the office visit changed to an actual OV rather than the preventative service and then they will cover it. The chart note is clearly a "preventative" exam. I am not comfortable changing it to an actual OV.
Does anyone have any feedback they can provide? Is this even legal to do?
Thanks,
Christina, CPC-A