Forum - Questions & Answers
Physician Hospital Billing Question
In billing for a Family Practice Group, 1 of our Dr.'s did OB care & delivery of a patient. She was re-admitted to the Hospital with-in 20 days of delivery for Obstetrical blood-clot embolism, postpartum. I billed with a modifier 58 only to have it denied for "The procedure code is inconsistent with the modifier used or a required modifier is missing". Any suggestions (UHC insurance)
re: Physician Hospital Billing Question
I don't see why modifier 58. Code the presenting diagnosis code(s).
re: Physician Hospital Billing Question
I'm sorry - I should have mentioned that it was originally denied as bumping on the OB global which is why we re-submitted with the 58 modifier.
re: Physician Hospital Billing Question
what was denied