[Ohioaap-practicemanagers] FW: code 99050(after hours code) for Caresource
Melanie Farkas
MFarkas at ohioaap.org
Fri May 5 09:37:06 EDT 2017
We have received a few denials from Caresource for 99051. The denial code
OA-233 "Services/charges related to the treatment of a hospital-acquired
condition or preventable medical error."
Our rep has advised us to submit appeals with office notes. We are still
waiting for the determination.
Jessica Roquet
Practice Manager
Pediatric Associates of Mt. Carmel, Inc.
4371 Ferguson Drive
Cincinnati, Ohio 45245
P 513-752-3650
F 513-752-3387
jroquet at pedsmtcarmel.com
www.pedsmtcarmel.com
-----Original Message-----
From: Ohioaap-practicemanagers
[mailto:ohioaap-practicemanagers-bounces at lists.deltaforce.net] On Behalf Of
Garber MD, Rachel via Ohioaap-practicemanagers
Sent: Thursday, May 04, 2017 12:19 PM
To: ohioaap-practicemanagers at lists.deltaforce.net
Subject: [Ohioaap-practicemanagers] code 99050(after hours code) for
Caresource
HI,
We had been getting reimbursement from Caresource using 99050 for after
hours care , but recently they are rejecting it with stating: " not covered
based on the insured's noncompliance with policy or statutory conditions".
Any ideas if we should be using a modifier or is anyone else getting this
recently?
Thanks,
Rachel Garber, MD, FAAP
University Suburban Pediatrics
1611 S Green Rd #034
S. Euclid, Oh 44121
216-297-2700
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