cvand1972
Guru
Hi all,
wondering if I can get some help or if someone has a general letter for this one. I've got an insurance company trying to take money back on about 5 patients. All 5 of these patients had an Office Visit and an ETT on the same day, both performed by SEPARATE providers in our group. The insurance paid but now they are retracting their money for the E&M stating that these are not allowed on the same day.
Now, I know that if they were done by the same provider then I would have to append the 25 modifier, however, these are being done by 2 separate providers.
Has anyone had this issue lately?
If you have some good verbiage you'd like to share, i'm all for it.
wondering if I can get some help or if someone has a general letter for this one. I've got an insurance company trying to take money back on about 5 patients. All 5 of these patients had an Office Visit and an ETT on the same day, both performed by SEPARATE providers in our group. The insurance paid but now they are retracting their money for the E&M stating that these are not allowed on the same day.
Now, I know that if they were done by the same provider then I would have to append the 25 modifier, however, these are being done by 2 separate providers.
Has anyone had this issue lately?
If you have some good verbiage you'd like to share, i'm all for it.