Linda Ferreyra
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We are a large Multispecialty Practice under one Tax Id number. We are experiencing some payer problems such as:
1. Payers denying the claim stating it is within global period, even though a different physician than the surgeon is seeing patient during that global time.
2. If a patient sees one physician let's say a urologist that is in one practice and then the patient decides to see a different urologist that is in a toltally different practice, the insurance companies are denying the new patient visit amount. Payers are doing this to us even when it is a different Taxonomy/modality.
Are there any other group practices out there that are set up this way and if so, how are you handling these issues?
Thanks for the info!
Linda Ferreyra, CPC
Director of Central Billing office
Regional West Physicians Clinic
Scottsbluff, Nebraska
1. Payers denying the claim stating it is within global period, even though a different physician than the surgeon is seeing patient during that global time.
2. If a patient sees one physician let's say a urologist that is in one practice and then the patient decides to see a different urologist that is in a toltally different practice, the insurance companies are denying the new patient visit amount. Payers are doing this to us even when it is a different Taxonomy/modality.
Are there any other group practices out there that are set up this way and if so, how are you handling these issues?
Thanks for the info!
Linda Ferreyra, CPC
Director of Central Billing office
Regional West Physicians Clinic
Scottsbluff, Nebraska