Insurance Denying Everything as Maintenance

by  ChiroCode
December 7th, 2016

Question

I am having an extremely difficult time getting reimbursed by [insurance carrier]. They keep denying everything as maintenance. Why?

Answer

There are several reasons why a carrier denies a claim as maintenance.

It is up to the provider to prove medical necessity by appropriately documenting the patient encounter in accordance with established guidelines. The important thing is to include the complaint, objective findings, and then create a plan with goals. It is important to demonstrate that there is progress or improvement.

Some other possibilities are:

Insurance Denying Everything as Maintenance. (2016, December 7). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/insurance-denying-everything-as-maintenance-34788.html

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