Medical Billing Forum

Coding => Coding => : sls May 17, 2017, 12:17:01 PM

: procedure 43255
: sls May 17, 2017, 12:17:01 PM

billed to IBC as inpatient procedure. denied as Capitated service.  why and how would I get this turned over.  Any ideas

: Re: procedure 43255
: chandru_2k15 May 18, 2017, 10:58:19 AM

You may want to review the capitation agreement of the provider before jumping into any action.

Thanks,
Chandru J.