For Medicare patients:
My docs do not always meet documentation guidelines for 99221, it was my understanding of the new inpatient consult rules, that Medicare wants you to use inpatient follow up codes 99232;99233 if documentation is not met for 99221? When I do this I get denied stating services are included in global, even though I use mod 24. Is anyone else having this issue? It looks to me like they are assuming it is included because I used follow up code. Needless to say, no it is not included, it is completely different body part, hence the 24.
How do I resolve this issue?
Should I send them their own guidelines(ha)?
My docs do not always meet documentation guidelines for 99221, it was my understanding of the new inpatient consult rules, that Medicare wants you to use inpatient follow up codes 99232;99233 if documentation is not met for 99221? When I do this I get denied stating services are included in global, even though I use mod 24. Is anyone else having this issue? It looks to me like they are assuming it is included because I used follow up code. Needless to say, no it is not included, it is completely different body part, hence the 24.
How do I resolve this issue?
Should I send them their own guidelines(ha)?