Medical Billing Forum

Billing => Billing => : stellerdobes March 14, 2018, 07:31:03 AM

: rocephin
: stellerdobes March 14, 2018, 07:31:03 AM

We are now having trouble with AARP medicare complete paying for Rocephin.  It didn't use to be a problem.  I always billed J0696 time 4 for 1 gram.  Now they are denying saying that  Payer deems the information submitted does not support this dosage.  Any ideas

: Re: rocephin
: Michele March 14, 2018, 10:19:55 AM

If it is only AARP Medicare Complete and you are not receiving any denials from any other carriers then I would contact AARP Medicare Complete to ask them what changed.  It does not appear to be a national change as I don't see anything out there indicating it is a problem.  It looks like it is carrier specific.  They may have changed something on how they want it reported or it may be a mistake.