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Medical Billing Forum
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Payments
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Insurance Payments
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Alice Scott
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Michele
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Payment Groupers
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Topic: Payment Groupers (Read 3329 times)
jenhigh
Newbie
Posts: 2
Payment Groupers
«
on:
October 26, 2015, 12:39:35 PM »
I am questioning payments on RFA codes 64633 thru 64636 for an ASC facility claim. What reimbursement group should they be paid from? Some insurances are paying for grouper 1 and others grouper 2.
«
Last Edit: October 26, 2015, 12:44:10 PM by jenhigh
»
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pankaj
Newbie
Posts: 6
Re: Payment Groupers
«
Reply #1 on:
October 26, 2015, 03:00:48 PM »
According me they should pay from grouper 1 and if any insurance is paying from grouper 2 you must call and try to reprocess the claim with correct grouper 1 because rates are higher in grouper 1. for more detail you can review
https://www.colorado.gov/pacific/sites/default/files/CMS1500_ASC.pdf
*Please tell where the services were rendered for more specific help...
Best Regards
Pankaj Gangwani
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jenhigh
Newbie
Posts: 2
Re: Payment Groupers
«
Reply #2 on:
October 27, 2015, 11:15:36 AM »
These services are in Virginia.
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Medical Billing Forum
Re: Payment Groupers
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Reply #2 on:
October 27, 2015, 11:15:36 AM »
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Medical Billing Forum
»
Payments
»
Insurance Payments
(Moderators:
Alice Scott
,
Michele
) »
Payment Groupers