Billing > Billing

Billing Medi-Cal

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billspecial:
Is there something I'm missing? When I bill an office visit 99213 and a lab 81000 Medi-Cal will only pay the office visit and deny the lab as only one exam covered on the same day. If I bill an EKG 93000 they will pay the EKG and not the office visit with the same denial reason. Should I just bill the office visit and not bill the lab or prepare to write off the lab charge or whatever charge they won't pay? Thank you in advance.

Michele:
I am not familiar with Medi-Cal specifically, but I know that other Medicaid programs do the same thing.  They don't allow office visits and EKG's to be billed together, they bundle them.  They also never pay the labs either.  I have not found anything that can be done about it.  I'm hoping someone else on the forum may have some secret they can share.  :)

Michele

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