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Click here for more sample CPC practice exam questions and answers with full rationale

90674 Flucelvax Quad Ongoing Payment Problem Amerigroup NY

Hi,
We billed 90674 starting in September. My provider rep told me that the 2017-2018 flu shot codes were not added into the system and it would take 4-6 weeks. We have been contacting him and other people at the insurance and he even had a meeting with the dr and all codes were denied incorrectly as capitated and we still get the answer from them that they are still "working on it." Did anyone else have this problem or any ideas on how I can fix and get paid? We have had problems with this insurance and flu codes in past. The provider rep and supervisors are mainly unresponsive. I had to send him list of 2017-2018 codes twice.
Thank you in advance for any help!

Medical Billing and Coding Forum

Amerigroup pulled charges from 2014

We had a location error for EKGs charged in 2014. The computer defaulted to "Office" for 93010 but should have been inpatient.

Amerigroup recouped the payments. Is there not a statute of limitations that insurances can do that? It seems unfair that we are subject to timely filing but insurances are given the free hand to look for minor errors and recoup.

Any thoughts?

Medical Billing and Coding Forum