Practice Management

 View Only
  • 1.  77048 and 77049 Payments and Denials

    Posted 05-07-2019 17:04
    What are everyone's experiences on getting consistent payment on 77048 and 77049 codes?   This would be for all major payors and Medicare.

    Thanks!


    ------------------------------
    Tim Hollingsworth
    Business Manager
    Central Illinois Radiological Associates
    East Peoria IL
    ------------------------------


  • 2.  RE: 77048 and 77049 Payments and Denials

    Posted 05-07-2019 17:22
    We're having painful issues with AIM who is authorizing the service, primarily via "grouping CPTs of 77046 - 77049, correctly, but not passing on the correct information to the payors.

    77049 is being denied due to non authorized - most of which the payors are saying CPT 77046 was the CPT authorized.  The payors are manually fixing the issue, but in the interim we're getting call like crazy on this let alone the unnecessary rework its causing.  




    ------------------------------
    Dennis Chaltraw
    Director, Revenue Cycle Management
    Oregon Imaging Centers
    Eugene OR
    ------------------------------