There are a couple of insurance companies that do not pay nurse practitioners at a 99204 or 99215 even though they have done the work. We have been billing the 99204 and 99215 (note sure if we've had any) and getting the denial back, THEN downcoding it at that point with a corrected claim. This is how we're told to do it by The Powers That Be. They've told us the reason for that is so the NP will get the credit within the company for the work that they actually did. My question is, IS that legal knowing they don't pay on that level? Or should we be billing the 99203 and 99214 from the beginning? Does this make us non-compliant, or is this just one way to go. . . .
Thanks!
WB![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Thanks!
WB