Murkjp
Contributor
I work for a Mental Health facility that conducts outpatient assessments for Autism Spectrum Disorder. Per insurance carrier, there is also a request for a Medical evaluation. The medical staff sees the patient, providers documentation and Dx related to any medical conditions identified. They are medical providers and not screening for ASD but claims are denied by carrier due to not having ASD Dx on them. There is also no confirmed Dx of ASD at the time of encounter. Does anyone have experience with this? Should the Medical staff be putting the Dx of ASD on claim even though the patient does not have a confirmed Dx and it is not what the exam is for? Any advice would be appreciated.
Thank you
Thank you