ENDOCODER
Networker
I bill for a freestanding ASC and was wondering if anyone is having trouble billing for incomplete colons for Medicare Plus Blue/ Mr Advantage insurance? We bill the same as a straight Medicare patient, using a 74 Modifier for the incomplete. We will get paid for the 1st colon but when patient returns the next day we get a denial for "number of visits exceeds max" on the completed colon. This has never been a problem before but for the past year they have denied the 2nd colon.
Anyone else having an issue like this? Any help would be appreciated
Anyone else having an issue like this? Any help would be appreciated