nlynn112211
New
Hello,
I work in Indiana. Only Medicaid Managed Care plans pay for the Notification of Pregnancy (CPT code 99354). Sometimes the patient will have a primary Commerical insurance and a Medicaid Managed Care as secondary. For Commercial payers we bill prenatal visits as a global package meaning we do not bill for the office visit. This is causing denials for the Notification of Pregnancy from the primary and the Medicaid Managed Care plan is denying as well.
Does anyone know of a way to better fight these denials?
Thank you for any help!
-Chantel
I work in Indiana. Only Medicaid Managed Care plans pay for the Notification of Pregnancy (CPT code 99354). Sometimes the patient will have a primary Commerical insurance and a Medicaid Managed Care as secondary. For Commercial payers we bill prenatal visits as a global package meaning we do not bill for the office visit. This is causing denials for the Notification of Pregnancy from the primary and the Medicaid Managed Care plan is denying as well.
Does anyone know of a way to better fight these denials?
Thank you for any help!
-Chantel