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<p class="MsoNormal"><span style="color:black">Good morning,</span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black">The Ohio AAP would like to share with you a letter from Dr. Sara Goza, the President of National AAP. The letter encourages payers to pay at 100% of billed charges for CPT code 99072 until CMS values the code
and to avoid cost shifting expenses to patient responsibility. </span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black">Once values have been released, AAP requests that unpaid or denied claims retroactive to 9/8/20 be re-adjudicated for payment. </span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black">We urge you to continue billing the code when appropriate and to also check your contracts with payers as some contracts include language around taking back excess payments after CMS assigns value. </span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black">I have also attached a template letter you can use for claim denials.</span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black"> </span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black">Thanks,</span><o:p></o:p></p>
<p class="MsoNormal"><span style="color:black">Kristen</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-family:"Georgia",serif">Kristen Stidham Fluitt, MS</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Georgia",serif">Senior Quality Manager</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Georgia",serif">Ohio Chapter, American Academy of Pediatrics</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Georgia",serif">Phone: 614-846-6258</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Georgia",serif">Fax: 614-846-4025</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Georgia",serif">Address: 94-A Northwoods Blvd. | Columbus, OH 43235</span><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Georgia",serif">Website: <a href="http://www.OhioAAP.org">
<span style="color:#0563C1">www.OhioAAP.org</span></a></span><o:p></o:p></p>
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