What modifier should we use so Medicaid would not deny a hospital claim charge noting that it's included in a surgical/anesthesia fee. For example when the doctor admits his patient to the hospital,and later finds out that he needs surgery. The surgeon operates on the patient & the doctor makes his daily hospital visits & discharges the patient. When I billed the claim, medicaid paid just for the admission and denied the rest because it is included in the surgery/anesthesia fee.
I know that I cannot bill with mod. 55 since that must be used with a surgery code only, and here's no "split billing" scenario.
Do I need to re-submit the claim with documentations showing that services were done on different days by 2 diff. doctors? Please help.