Not sure
Carey Jinright
Description
Collection
Title:
Not sure
Creator:
Carey Jinright
Date:
8/6/2013
Text:
I'm not sure if this will affect you, but I will throw it out there. In years past we received denials because a same or similar item was billed to close together. The problem was that we called and asked CGS if the patient ever received a L1906LT. They said no. We billed the claim only to have it deny. When we called to ask about the denial we were told the patient had received a L1902LT.
This started me using spans of codes to check same or similar. We would then call and ask them to check L1900-L1990. This worked for several years. We were told the other day that they will no longer span codes. I know MyCGS is coming online but I have not found how to search same or similar on there yet. Does this apply to you? I called CGS and they confirmed that they will no longer span. Their suggestion is to call multiple times to check individual codes. This is sure to increase denials! I am still asking how they deem this to be efficient or reasonable.
Carey Jinright, LO, ATP, MSM
Cross & 3
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This started me using spans of codes to check same or similar. We would then call and ask them to check L1900-L1990. This worked for several years. We were told the other day that they will no longer span codes. I know MyCGS is coming online but I have not found how to search same or similar on there yet. Does this apply to you? I called CGS and they confirmed that they will no longer span. Their suggestion is to call multiple times to check individual codes. This is sure to increase denials! I am still asking how they deem this to be efficient or reasonable.
Carey Jinright, LO, ATP, MSM
Cross & 3
Confidentiality Notice - The information contained in this e-mail and any attachments to it may be legally privileged and include confidential information. If you are not the intended recipient, be aware that any disclosure, distribution or copying of this e-mail or its attachments is prohibited. If you have received this e-mail in error, please notify the sender immediately of that fact by return e-mail and permanently delete the e-mail and any attachments to it. Thank you.
Citation
Carey Jinright, “Not sure,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/235512.
