donnahoops
New
Can someone tell me what I am doing wrong. We perform EMG's In which I usually have 13 plus nerves and atleast 1 complete study and 1 limited study. Diagnosis is never the issue. They deny every time due to needs additional information or separately billed services have been bundled as they are considered components of the same procedure. I send the report stating what was performed and the diagnosis to support medical necessity and they still come back denied. I appeal with a break down and we finally get reimbursement. I tried send in a paper claim with all supporting documentation first and still the same thing.
Example below:
95913 we did 13 nerves
95885-59 we performed limited study in the right leg
95886-59 x 2 we performed complete study on left arm and left leg
any help would be appreciated.
Thank you
Donna
Example below:
95913 we did 13 nerves
95885-59 we performed limited study in the right leg
95886-59 x 2 we performed complete study on left arm and left leg
any help would be appreciated.
Thank you
Donna