Hi, we're coming across an issue with some of our pathology TC claims. Medicare is either denying, or taking back payments stating patient was an outpatient in a facility on same day. So, the facility would be responsible for any TC billing. I can obviously see the patient went to the derm because I have the lab order, and it was not a derm at a facility. So I'm not sure if the information is just incorrect or the patient was at an outpatient at a facility on the same day? Has anyone come across this predicament before? I came across it once, but now we are getting a handful of denials here and there.
Also, I had a rep at Medicare tell me the patient was an outpatient at the hospital for a span of 20 consecutive days. Maybe this is a dumb question, but how would you be considered outpatient for that long?
Also, I had a rep at Medicare tell me the patient was an outpatient at the hospital for a span of 20 consecutive days. Maybe this is a dumb question, but how would you be considered outpatient for that long?
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