mardi 11 novembre 2014

Medicaid consult denials

It IS my understanding that Arkansas's Medicaid DOES accept consult codes still but they are denying any that I bill in an 'Observation/Outpatient status.

99241-99245. What would you code instead? I have also tried 99201-99205 in which they don't like either. Both codes send back a denial message:

"Procedure code to place of service"


I've made sure the hospital DOES show them in the Outpatient/Observation status and that we have keyed the charges in POS 2 -outpatient.


Why are they denying these? Not sure what to use instead? 99201-99205 AND 99241-99245 ARE on their fee schedule.


Any input would be appreciated!!






Medicaid consult denials

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