Author Topic: HMO inpatient  (Read 477 times)

sls

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HMO inpatient
« on: December 21, 2016, 12:55:02 PM »
we are billing initial consults for inpatient services. Keystone HMO is processing them as covered in capitation. Can you appeal this, since its inpatient or are we billing incorrectly and it should be initial

PMRNC

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Re: HMO inpatient
« Reply #1 on: December 21, 2016, 01:48:32 PM »
What does your contract with them say?
Need to check that first.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
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