Billing > Billing

Aetna billing difficulties with 97140-59 and 97010

<< < (2/2)

DMK:
I completely agree with you, and understand the bias against Chiropractors, so many are unscrupulous.  I also agree that more and more things will be cut to save money (but wait everything's free right?).  The general public has no idea what's coming.  The pendulum has swung and it's going to be harsh for patients and providers (if any even stay in practice!).

2012billingrep:
Thanks for all the responses.

DMK, I thought 97124 was for massage and that trigger point therapy fell under the 97140 code?

DMK:
Correct 97124 IS for massage (but some insurance companies want it coded 97140) and 97140 is the appropriate code for trigger point.  I don't make the rules, but I will do my best to code procedures as the insurance companies want them coded.

Our Aetna clients all raised a fuss with their HR depts. and Aetna and were told how the provider should fix the claims and re-submit.

PMRNC:

--- Quote ---Our Aetna clients all raised a fuss with their HR depts. and Aetna and were told how the provider should fix the claims and re-submit.
--- End quote ---

I'd be interested to know how they were told to "fix" <g> insurance carrier reps are really NOT allowed to give coding advice or even advise on coding issues leading to "reimbursement". 

ERISA health plans however have more leeway with insureds.. they can actually make administrative decisions with regards to these kind of denials.

Navigation

[0] Message Index

[*] Previous page