Is anybody seeing issues with duplicate CPT codes with the same modifiers (or no modifiers) within the same encounter?
There seems to be an implicit assumption that the CPT/Modifier combination is unique within an encounter and this is not in fact correct.
It is playing all kinds of heck with automatic payment posting. Just wondering if anyone else has tackled this yet?
hi @KyleNave, are you using units on the fee sheet?
Reasonable question and in some cases that would be the fix, but some payers require the duplicate entry in the claim to get the items paid correctly.
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is
for the sole use of the intended recipient(s) and may contain confidential
and privileged information or may otherwise be protected by law. Any
unauthorized review, use, disclosure or distribution is prohibited. If you
are not the intended recipient, please contact the sender by reply e-mail
and destroy all copies of the original message and any attachment thereto.
Yes. I am experiencing this issue as well. I handle billing for an Acupuncture provider. I have to bill subsquent needle sticks (97811XU) on separate line items. If I bill 2 units, both units will be denied. When posting to the two lines of 97811XU, it is double posting both. I tried only posting to one of the codes, it is causing over reporting in the Receipts Summary report, along with credits on encounters, none of the financials make sense. If anyone has a fix to this, please speak up.
Thanks!