Revdex.com spoke with the business regarding this case. When a patient comes in for a screening this is a covered code by the insurance company. However, when the patient comes in with notes from a family doctor with symptoms the center must code the procedure as a diagnostic and this changes the covered...
rate. This is a rate coverage set by the insurance company not the center, but to change the terms of the code would be considered insurance fraud.
Revdex.com spoke with the business regarding this case. When a patient comes in for a screening this is a covered code by the insurance company. However, when the patient comes in with notes from a family doctor with symptoms the center must code the procedure as a diagnostic and this changes the covered...
rate. This is a rate coverage set by the insurance company not the center, but to change the terms of the code would be considered insurance fraud.