I have two questions:
We had a pt in the hospital and she has Medicare and Ga Medicaid, she had a I/D done on a abd abscess and we continued to see her 3 more days with her other isses. M'care and M'caid said they will not pay unless we have a modifier on the bills and modifier 25 won't work. Does anyone know what modifier you would use?
Also we had a pt come into the office that has M'care and M'caid and had a EKG done and they won't pay for that either. We had a 25 on there but they don't like it.
If someone knows something it would really be a big help.
Thank you
Hope
We had a pt in the hospital and she has Medicare and Ga Medicaid, she had a I/D done on a abd abscess and we continued to see her 3 more days with her other isses. M'care and M'caid said they will not pay unless we have a modifier on the bills and modifier 25 won't work. Does anyone know what modifier you would use?
Also we had a pt come into the office that has M'care and M'caid and had a EKG done and they won't pay for that either. We had a 25 on there but they don't like it.
If someone knows something it would really be a big help.
Thank you
Hope