My Neonate specialist's are using newborn diagnosis for babies greater than 28 days. In NY, GHI and HIP are denying the claims for "Diagnosis inconsistency with age". According to a resource one of my Doctors found it states "that if the baby acquired the condition during the first 28 days of life they should be able to use the newborn dx code after 28 days of life".
Is this so, and if it is, how do we appeal to the insurance carriers? I cant find any guidelines on Medicare's webpage.....![Frown :( :(](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Is this so, and if it is, how do we appeal to the insurance carriers? I cant find any guidelines on Medicare's webpage.....