Medical Billing Forum

Billing => Billing => : elle May 24, 2011, 02:03:26 PM

: Diabetes Education/Triwest
: elle May 24, 2011, 02:03:26 PM
I work in an Endocrinology clinic.  One of our patients has been having diabetes education as part of her treatment with a CDE.  All of her education claims have been denied by Triwest.  I have been billing under G0108.  I use the educator's name as the renderring provider and our PA's or MDs' name as the billing provider (depending on who sees her that day). I am using a modifier 59.  Any suggestions?  I would really appreciate it!   
: Re: Diabetes Education/Triwest
: PMRNC May 24, 2011, 05:07:17 PM
It appears they have their own outpatient diabetes management services setup here is what I found:
 http://www.triwest.com/beneficiary/BOLT/Home.mvc/Details/Diabetes#Outpatient_Self_Management_Training