tci Outpatient Facility Coding Alert - 2013 Issue 3

Reader Question: Payer Rejecting New Codes? Report to AMA

Question: We already have payers that are rejecting the new CPT® codes. They are not stating that the codes aren’t valid for the procedure we are performing, but rather stating the codes are not valid at all. How should we handle this? Georgia Subscriber Answer:  If you are correctly using a valid, new CPT® code that went into effect on Jan. 1, 2013, then you should appeal the claim. Be sure that you are using a valid code for the proper procedure and that you have checked your payer’s local coverage determination (LCDs) and the national...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.


TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.