lngreen1107
New
I am new to Pediatric billing and I have a question regarding billing when a patient has BCBS primary and Medicaid secondary. If a patient comes in for an IPMS, per Alabama Medicaid, we are to bill the charge for the DOS to the primary insurance first and then submit to Medicaid.
My question is this: when we mark a visit as an IPMS we append an EP onto the visit code (not as a modifier, ex 99213EP would be the code entered), but I am concerned about BCBS denying because the EP is on the E/M code. Will BCBS still pay even with it on there? It needs to be marked as such in order to identify it as an inter-periodic screening.
TYIA!
My question is this: when we mark a visit as an IPMS we append an EP onto the visit code (not as a modifier, ex 99213EP would be the code entered), but I am concerned about BCBS denying because the EP is on the E/M code. Will BCBS still pay even with it on there? It needs to be marked as such in order to identify it as an inter-periodic screening.
TYIA!