tci Medicare Compliance & Reimbursement - 2008 Issue 6

Success Story: Don't Write Off Denials If You Know You're Right

National policy review pays off for one practice In a story in Medicare Compliance & Regulation Vol. 34, No. 4 ("Forget G Code For Cerumen Removal And Forget Payment"), we offered several tips about how to collect for audiology with cerumen removal. The strategy has paid off for one satisfied billing director who fought her insurer and won.Laura Colbert Carbonaro, central billing operations director at ENT and Allergy Associates LLP, was tired of having her staff spend time appealing denials for G0268 (Removal of impacted cerumen by physician) with 92557 (Comprehensive audiometry threshold evaluation) to one carrier. "I...

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