Pediatric Coding Alert

Medicaid: 96110: Use This Tool to Fight Medicaid Denials for Developmental Screening



Although CMS originally withheld RVUs for this code, you'll now find an update.

If your Medicaid provider is sending back your developmental screening claims and marking them "denied," there's a powerful new tool that can help you fight those zero-reimbursement situations.

Issue Lies in Testing vs. Screening Difference

Although most annual CPT® updates have the potential to help your practice substantially, others can threaten to bring your income to a halt. Unfortunately, that's been the case for scores of pediatric practices that have been stymied by the recent adjustment to the developmental screening code 96110 (Developmental screening, with interpretation and report, per standardized [...]

- Published on 2012-01-13

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