Medical Billing Forum

Billing => Billing => : srob48 March 20, 2012, 12:32:25 PM

: Arkansas medicaid
: srob48 March 20, 2012, 12:32:25 PM
I don't know it this is just Arkansas medicaid or just medicaid, but, we are having a major issue with getting one of our physicians paid when they do a physical on a medicaid pt especially anybody under 18. Does anybody out there know what codes should be used and the dx that needs to go with it? I have went through the medicaid manual and done exactly as it says but very little luck with payment! Makes no sense to me :(
: Re: Arkansas medicaid
: Michele March 22, 2012, 11:23:26 AM
Do you have a contact you can reach at Medicaid so that you can give them an example?  It's hard with the information you gave.  There are different E&M codes for well visits depending on the age so you would have to use the age appropriate one.  The V70.0 is usually the well visit dx.  Most denials are because the wrong E&M code is used for the patient's age.