How Do I Give Students A Remind Code On Remind.Com Prevent Down Coding By Insurance Companies On Medical Claims

You are searching about How Do I Give Students A Remind Code On Remind.Com, today we will share with you article about How Do I Give Students A Remind Code On Remind.Com was compiled and edited by our team from many sources on the internet. Hope this article on the topic How Do I Give Students A Remind Code On Remind.Com is useful to you.

Prevent Down Coding By Insurance Companies On Medical Claims

Have you ever wondered why sometimes when you are paid for a claim, the insurance company “changes the code to a more appropriate code for payment”? You submit the claim as a 99214 but they bill you with a 99213 or worse, a 99212. This practice is called downcoding.

Should you accept it? Well in some cases you do. A lot will depend on the contract you have with the insurance carrier. Some contracts only allow providers to pay certain cpt codes. In that case, they can change a billed code to one of the allowed codes. Or the contract may specify that you can only pay a certain number, or percentage of claims in higher codes.

But sometimes an insurance carrier will just downcode your claim and it’s not because of the contract details. In that case you can appeal it. We recently had a claim that the insurance carrier downcoded a 99214 to a 99213 and told us they only allow one provider to pay a 99214 every 6 weeks for a patient. That’s ridiculous. How does that guide apply to any patient?

Sometimes we just remind insurance carriers that doctors determine the needs of the patient. In this case we sent notes to the office and a letter advising them that we are appealing the processing of the claim. The doctor meets the requirements to justify billing a 99214 and their “guidelines” are inappropriate. We received payment for the difference about 10 days later.

So if you have problems with your downcoded claims, and it’s not because of the contract details, you should appeal. Don’t just accept what the insurance carrier does. That’s what they rely on. Just think how much money they save the providers by not doing anything about it.

Copyright 2008 – Michele Redmond

Video about How Do I Give Students A Remind Code On Remind.Com

You can see more content about How Do I Give Students A Remind Code On Remind.Com on our youtube channel: Click Here

Question about How Do I Give Students A Remind Code On Remind.Com

If you have any questions about How Do I Give Students A Remind Code On Remind.Com, please let us know, all your questions or suggestions will help us improve in the following articles!

The article How Do I Give Students A Remind Code On Remind.Com was compiled by me and my team from many sources. If you find the article How Do I Give Students A Remind Code On Remind.Com helpful to you, please support the team Like or Share!

Rate Articles How Do I Give Students A Remind Code On Remind.Com

Rate: 4-5 stars
Ratings: 9317
Views: 40336582

Search keywords How Do I Give Students A Remind Code On Remind.Com

How Do I Give Students A Remind Code On Remind.Com
way How Do I Give Students A Remind Code On Remind.Com
tutorial How Do I Give Students A Remind Code On Remind.Com
How Do I Give Students A Remind Code On Remind.Com free
#Prevent #Coding #Insurance #Companies #Medical #Claims

Source: https://ezinearticles.com/?Prevent-Down-Coding-By-Insurance-Companies-On-Medical-Claims&id=1180886

Related Posts

default-image-feature

How Do I Get.My.Code.To Sccess A House Rently Advantages and Disadvantages of Textbook Rental

You are searching about How Do I Get.My.Code.To Sccess A House Rently, today we will share with you article about How Do I Get.My.Code.To Sccess A House…

default-image-feature

How Do I Get Rid Of The Zero Index Code.Org Code Igniter (PHP Framework)

You are searching about How Do I Get Rid Of The Zero Index Code.Org, today we will share with you article about How Do I Get Rid…

default-image-feature

How Do I Get My Bar Code Number For In-Shape Microsoft Great Plains Distribution, Barcoding, Consignment – overview for consultant

You are searching about How Do I Get My Bar Code Number For In-Shape, today we will share with you article about How Do I Get My…

default-image-feature

How Do I Get My 5 Digit Code Site Irs.Gov Who Pays What In Taxes? Remove All Doubt, See Irrefutable IRS Data

You are searching about How Do I Get My 5 Digit Code Site Irs.Gov, today we will share with you article about How Do I Get My…

default-image-feature

How Do I Get A Tax Code After Being Self-Employed 3 Ways That a Business Owner Can Minimize Their Taxes

You are searching about How Do I Get A Tax Code After Being Self-Employed, today we will share with you article about How Do I Get A…

default-image-feature

How Do I Find My Verification Code For My W-2 Guidelines for Income Tax E-Filing

You are searching about How Do I Find My Verification Code For My W-2, today we will share with you article about How Do I Find My…