Author Topic: Recoupments from Blue Cross on OB assists  (Read 1171 times)


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Recoupments from Blue Cross on OB assists
« on: October 07, 2019, 02:58:29 PM »
Hi All,

Our physician in an OB who both delivers babies and on occasion assists. We are billing 59514 80. We have been paid on these services in the past and Blue Cross has now started to recoup payments. You cant speak with anyone...the reps are so unhelpful. (very nice but can do nothing but apologize for the inconvenience) I was looking for a change in policy or something we can attribute this to. No one can help. Tried going thru provider relations and not helpful either. The doctor is paid about $170 for an assist. The hospital here in CA requires an assistant for Cesarean deliveries. SO far they have recouped over 2000.00. Our physician just told me he received more recoups today. We have appealed. Our Dr has also provided Op reports and still the recoups happen. Any ideas?


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Re: Recoupments from Blue Cross on OB assists
« Reply #1 on: October 08, 2019, 09:12:10 AM »
What is the reason on the recoups?  Why are they saying they are taking it back?
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