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Good Morning all,
My physicians read nuclear stress studies for the local hospital while they are on call. In the past few weeks I have received denials from Cigna, UHC, and Humana stating that CPT 78452 code requires authorization. I called the hospital and they told me these patients are in observation status and they are unable to get authorizations for any other services. I have appeal but have been denied on every case. Has anyone else had this occur or any solutions I can try to get reimbursement for my physicians?
My physicians read nuclear stress studies for the local hospital while they are on call. In the past few weeks I have received denials from Cigna, UHC, and Humana stating that CPT 78452 code requires authorization. I called the hospital and they told me these patients are in observation status and they are unable to get authorizations for any other services. I have appeal but have been denied on every case. Has anyone else had this occur or any solutions I can try to get reimbursement for my physicians?