Billing > Billing

united healthcare denial

<< < (2/5) > >>

Michele:
The only thing you can do is put the 59 modifier on.  Each UHC plan will have it's own guidelines, so you won't know what they are going to allow until submitting.  Without the modifier chances are good that they will bundle the services.  With the modifier, if they allow the codes, they will pay them separately.

Good luck
Michele

kmoore:
Michelle

I do have another question. He is also using code 98943 with modifier 51 and so I am referring that back to dx code 739.5 so I also need to put cpt code 97140 with modifier 59 to only that region also?

Thanks for the help.

Kim

Michele:
That sounds correct!

Michele

bdhobbs1:
The main problem I am having with United Healthcare is that they are denying one of our patients stating we are out of network.  We have appealed and printed out the web page where it shows we are in-network and the appeal was denied.  We are currently in 2nd level appeal.

LW5689:
I also recently received a denial but from medicare for a bill for physical therapy services because each procedure was missing a modifier.  What modifier(s) would i use for 97001, 97110 & 97112 & 97124 and 97250 with a diagnosis of 726.10 and 718.81.  Also, where can i find information on which modifiers to use in the future? thank you.

Navigation

[0] Message Index

[#] Next page

[*] Previous page