Mr. Verno shared the following tip for appealing a non-covered service on LinkedIn:
“You need proof that the insurance company is wrong. The proof can be in the form of documentation from the patient’s health benefit manual or summary plan description. Some insurance companies may have a website that you could go to, which could let you know what is covered or what is NOT (sic) covered.”
If you would like to share a coding & billing tip to be featured in our “tip of the day” series, please email Angie Stewart at astewart@beckershealthcare.com.
More articles on coding, billing and collections:
Blue Cross Blue Shield agrees to cover Owatonna Hospital — 4 insights
3 tips to help ASCs stay afloat amid the changing payer landscape
3 tips to manage claims denials at ASCs
