Author Topic: diagnosis code added to already paid claims  (Read 70 times)

reliable@epix.net

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diagnosis code added to already paid claims
« on: May 13, 2020, 09:30:31 AM »
I do billing for a Physical Therapy practice.  I have a patient that is mid treatment and therapist added an additional diagnosis code.  When I inquired if addition was from today forward
they stated no, it should have been on all dates of service.  Previous dates of service have already been paid.  Do I need to resend these as corrected claims?  Informational purposes only?

Michele

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Re: diagnosis code added to already paid claims
« Reply #1 on: May 13, 2020, 07:13:17 PM »
What type of insurance is it?  I'm asking because if it is a workers' comp or auto accident that additional diagnosis could make a difference in the case.  If it is just an additional diagnosis and not the primary diagnosis, it may not be necessary to bother to do a corrected claim.  If it is a commercial plan and they've already paid the claims, you could contact them and just ask them if they want the correction.
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reliable@epix.net

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Re: diagnosis code added to already paid claims
« Reply #2 on: May 14, 2020, 08:35:04 AM »
They are commercial claims.  Thank you for your help.