Hello,
I bill for a Neurosurgery office and we are seeing denials for units billed (example 22853 in a procedure)for Medicare. Medicare allows up to 4 units paid and we did a procedure with 5 levels, so we billed 5 units. The line item is denied for too many units. Do we will bill the claims with the allowable units of 4 and disregard the other unit or do we bill out the 5 units and then have to appeal the denied line item?
And do we do the same for commercial payers?
Thank you
I bill for a Neurosurgery office and we are seeing denials for units billed (example 22853 in a procedure)for Medicare. Medicare allows up to 4 units paid and we did a procedure with 5 levels, so we billed 5 units. The line item is denied for too many units. Do we will bill the claims with the allowable units of 4 and disregard the other unit or do we bill out the 5 units and then have to appeal the denied line item?
And do we do the same for commercial payers?
Thank you