Sherri Posted Tue 12th of February, 2019 14:45:09 PM
I always seem to have trouble when patients come in for a yearly diabetic eye exam. It is a Medicare covered benefit, and should not be subject to deductible or copay. I filed the claim with 99204 and E11.9 as the diagnosis. The claim paid but the patient ended up owing a copay. I get the run around on the Medicare site, and Humana is even worse for tying to get a specific answer. They do not give specific guidelines, Am I using the wrong codes? Can you give me any tips?
SuperCoder Answered Wed 13th of February, 2019 03:16:17 AM