tci ED Coding & Reimbursement Alert - 2021 Issue Q2

Reader Questions: Always Correct Claims That Have Errors

Question: Within the past few months, on two occasions my billing department submitted claims through insurance companies for two procedures using the wrong codes. The procedures actually should have been billed using a higher RVU code since both cases were complicated and another code better described the procedure. I have already been paid on both claims. Should I just let this go, or is it acceptable practice to resubmit the billing for these procedures with the proper code and return the fees from the original bill? Maryland Subscriber Answer:  You should rebill using the proper codes. Mistakes happen...

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