cmcgarry
Guest
Has anyone else received denials for either the actual admitting physician or a "consulting" from their Medicare carrier? We have received them this week; it appears that the first claim received with 99221-99223 is paid, with or without the AI modifier, and any subsequent ones (again with or without modifier) are denied. We have ones where the first claim in was the admitting; it paid, and consultants denied; we also have a case where the consultant filed first; it paid, and our admitting physician's claim was denied. I think they didn't fix their edits! Of course, they are closed for the day, but we will be calling tomorrow and I'll update the thread. Our carrier is Noridian.
Thanks,
Thanks,