I’ve been getting denials from Healthfirst and one from BlueCross/BlueShield.
For the BC/BS claim I attempted to appeal this with with doctors notes but they upheld the denial.
Basically day one the doctor did 11100, 17110, and 17000.
On follow up (within 10 days) the patient followed up on the biopsy results which turned out to be skin cancer. Coordination of care for the skin cancer (refer to mohs surgeon) and full body exam was done. Billed 99214 with modifier 24, and for that BC/BS claim they upheld the denial as being part of the global for 17110 and 17000. I explained that the visit had nothing to do with 17110 and 17000.
Don’t know what to do at this point.