[Ohioaap-practicemanagers] Fw: Influenza test billing question

[Price, Jonathan]

This is an ugly problem since flu season is ahead.
First, I would like to hear if anyone else is having this problem with Buckeye or with any other providers.
Secondly, I would suggest going back to the provider rep to show that a) the problem is still going on and b) to pin down a rep to go on the record as to how Buckeye wants the service reported when it is provided on the same day and on the same claim form as the other services you provide that day.
  Jon Price MD FAAP
  Pediatric Council (Ohio) Co chair?


________________________________
From: Price, Jonathan
Sent: Monday, October 2, 2017 7:15 PM
To: Melanie Farkas
Subject: Re: Influenza test billing question


?This is an ugly problem since flu season is ahead.

First, I would like to hear if anyone else is having this problem with Buckeye or with any other providers.

Secondly, I would suggest going back to the provider rep to show that a) the problem is still going on and b) to pin down a rep to go on the record as to how Buckeye wants the service reported when it is provided on the same day and on the same claim form as the other services you provide that day.

  Jon Price MD FAAP

  Pediatric Council (Ohio) Co chair

________________________________
From: Ohioaap-practicemanagers <ohioaap-practicemanagers-bounces at lists.deltaforce.net> on behalf of Melanie Farkas via Ohioaap-practicemanagers <ohioaap-practicemanagers at lists.deltaforce.net>
Sent: Thursday, September 28, 2017 4:15 PM
To: PM Listserv
Subject: [Ohioaap-practicemanagers] Influenza test billing question

[External Email]
________________________________
Question for our listserv members!

I am having an issue with Buckeye paying for the influenza test 87804. They are bundling 87804 with the strep test 87880 together and not paying the allowable amount. We have been told by our provider rep that these 2 codes are not to be bundled and are payable codes. We are not having any issue regarding these codes with any other insurance. This is still ongoing as of today and with sick season coming around this is causing a huge issue. Can you please inform me as to the billing rule for these 2 codes? We are using proper CPT codes and diagnosis codes.



Melanie J. Farkas
Director of Communications & Immunization Programs
Ohio Chapter,
American Academy of Pediatrics
Phone: 614-846-6258
Fax: 614-846-4025
Address: 94-A Northwoods Blvd. | Columbus, OH 43235
Website: OhioAAP.org<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.ohioaap.org_&d=DwMGaQ&c=FGzDrZ8hK6OoO1oc9Smc5l64O0n3B5aByDFzrvN9KLI&r=anTctJhkpqxmDnVS8isg6A3DFpkdXkHUmhm1G4xLxDjLJXy4c4XsjwCZ6bfhjUOI&m=W0XS1cCpfxb3BbIpq6OGp2Tx-wdRC2N-FPWoxeyPX48&s=OnuSuaH5D-O3siASNwUxaCFivSwsp3KzfUYhK80QieI&e=>


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