Annette Posted Thu 09th of August, 2018 12:47:42 PM
Clover just started rejected our claims last month. We have been billing the same codes with them and Medicare. Medicare is still paying. Clover rejected all of our claims saying that it is missing a secondary diagnosis. We are billing: 98941-m99.01, s13.150d and M54.12. What secondary diagnosis would they want? Medicare pays with those dx's.
SuperCoder Answered Fri 10th of August, 2018 09:39:58 AM
Can you please priovide us with the evaluation and management note for further details so that the appropriate diagnosis can be provided.
Have a good day!
Annette Posted Tue 16th of October, 2018 15:09:06 PM
Hi! Sorry it took me so long to respond. Clover said one code is too vague and one is too on point?
SuperCoder Answered Wed 17th of October, 2018 09:05:48 AM
It is difficult to comment about the above codes without a proper E/M not. Hence, consider it as a request to provide the complete information.