bethsanders
Contributor
Hello
I am hoping that someone can give me some feed back with a situation. I am new to Orthopedics. I am going to try and explain the situation as best as I can.
The office had a PA for about a year that had asst. the Dr. in surgeries. When charges were posted the PA was listed as the Dr. and the mod-AS was attached to the CPT. Claims were denied stating out of network so therefore most were billed to the patients.
I started working here in mid August, the company outsourced a person to redo these claims. A void was done and a new claim was created. I have been getting denials that they are dup. claims or insurance companies are sending letters asking why the change.
I guess my question is: Can this be done, if so what is the correct way to handle this. I have so many patient's accounts a real mess now. And the company that our office hired to manage is not answering my questions. Could someone please help me with this. Thanks so much!
Beth Sanders, CPC
I am hoping that someone can give me some feed back with a situation. I am new to Orthopedics. I am going to try and explain the situation as best as I can.
The office had a PA for about a year that had asst. the Dr. in surgeries. When charges were posted the PA was listed as the Dr. and the mod-AS was attached to the CPT. Claims were denied stating out of network so therefore most were billed to the patients.
I started working here in mid August, the company outsourced a person to redo these claims. A void was done and a new claim was created. I have been getting denials that they are dup. claims or insurance companies are sending letters asking why the change.
I guess my question is: Can this be done, if so what is the correct way to handle this. I have so many patient's accounts a real mess now. And the company that our office hired to manage is not answering my questions. Could someone please help me with this. Thanks so much!
Beth Sanders, CPC