bar2ty@yahoo.com
Networker
HELP, Novitas-Medicare NJ-our MAC claims are being denied for LCD- for example R91.1-Solitary Pulmonary Nodule. The px code is 31622 AA X4 QS (bronchoscopy). What is it that our coding team needs to do you prevent the claims from denying? So many of the claims has denied for LCD. For this one the anes used monitored anes care (MAC). Coding keeps coming back with-per the op report, no other dx code-and we are having to adjust off all of these claims. this is just 1 example-I believe the common thread on all the denied claims is the anes used MAC.
Should coding inquire from the facility (op report) what codes they used and if they were paid-and should we use one of the codes from the facility-if it differs from our op report?
Any HELP is appreciated-we have a lot of claims denied for LCD...
Should coding inquire from the facility (op report) what codes they used and if they were paid-and should we use one of the codes from the facility-if it differs from our op report?
Any HELP is appreciated-we have a lot of claims denied for LCD...