5/21/2025 |
JH/JL Providers |
PET Scans and skin substitute codes |
We have identified an issue involving skin substitute (CPT codes 15271 - 15278) that were approved for payment, while the corresponding Q codes were denied during the processing period from May 5, 2025, to May 21, 2025. |
Impacted claims will be adjusted. No action required from providers at this time. |
Open |
4/17/2025 |
JH/JL Providers |
Incorrect rejections for Medicare secondary payer (MSP) claims. |
An issue was identified regarding incorrect MSP rejections related to billing and submission errors. |
Research for a resolution is continuing. Claims will be held until the fix is implemented. Once the fix is verified, we will adjust the rejected claims finalized prior to the April 25th hold within 30 days. |
Open |