Medical Billing Coding - Professional fees paid but facility denied, cpt, codes
medical billing and coding forum

BC Advantage Magazine


Billing-Coding.com

(FORUM HOME)

General Forum

New Topic  |  Search

Thread Topic: Professional fees paid but facility denied
Topic Originator: Michelle
Post Date April 29, 2009 @ 5:50 PM
Professional fees paid but facility denied


Michelle
April 29, 2009 @ 5:50 PM Reply  |  Email Friend   |  |Print  |  Top

Greetings all,

could someone tell me why a physician would be paid for services he rendered in an ASC, but the ASC's claim deny for medical necessity? I am seeing this more and more in the facility I bill for. Any and all comments are greatly appreciated.

steve
April 29, 2009 @ 9:38 PM Reply  |  Email Friend   |  |Print  |  Top

There are unknowns

1)  What the provider billed (CPT and ICD-9)


2)  What the facility billed. (Same)



Copyright © 2008 Billing-Coding Inc