Billing > Billing

UHC DENIAL FOR GLOBAL OR TC CHARGE

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MROBLEDO:
I BILL FOR X-RAY SERVICES AND WE USED TO GET PAYMENT FROM UHC EITHER IF I SENT A PROCEDURE CODE WITH TC MODIFER OR JUST NO MODIFER NOW THEY ARE DENYIN STATING I NEED TO BILL WITH 26 MODIFIER BUT I ALREADY SENT A CLAIM WITH 26 MODIFER I NEED TO GET THE TECHINICAL CHARGES PAID CAN ANYONE HELP? OTHER THAN SENDING AN APPEAL OR HAVE THE SAME ISSUE?

agaspard1:
I would check and see if possible any other physicians billed same services or might be a duplicate some where. But An apppeal is needed and bill with the tc mod because 26 is a professional component mod. Make sure when sent attached uhc appeal form from online with a typed appeal letter explaining the reason why should be paid.

Michele:
I'm confused, are you billing for global?  Or just technical? 

MROBLEDO:
I'm billing only global but i sent a different  claim as 2 separate ones 1 with mod Tc and 1 with mod 26 but still the Tc denies as i need to add modifier 26 and even if I call to reprocess or send a reconsideration form and submit documentation per MEDICARE GUIDELINES with a written explanation I still receive the same denial reason needing a modifier 26.

also the company i work for has multiple facilites set up in different states and we have also gotten denial in IL, IN ,WI AND MI the only state i havent recieved the denial is GA and yes i have double checked its the same UHC claims address or health plan under UHC

Michele:
Sorry but I'm still confused.  If you are doing global, why isn't it being billed on one claim with no modifiers?  It seems that billing 2 claims for the same provider for the same service, one as TC one as 26 would be confusing. 

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