Hi all, I'm hoping that someone can help me or direct to where I might find this answer. My company is a payer and very new to the Medicare rules. If the hospital bills (2) 99284 or any EM code for that matter, when I put it in my pricer software, it rejects it. My guess is one of 2 things. 1- both 99284 (or other code) both need the 25 modifier or 2-being as they have to bill us under Medicare rules, they should be billing a G code.
Probably both of them are incorrect, but I'd like to find out where this answer might be so any help you can provide would be great!
Thanks in advance,
Carrie J
Probably both of them are incorrect, but I'd like to find out where this answer might be so any help you can provide would be great!
Thanks in advance,
Carrie J