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Featured Claim Savings
A provider submitted 17 claims, each with a level 5 E&M code and a charge for a prolonged office visit, including charges for investigational medications for treatment of chronic pain and depression. Nokomis obtained records, and ultimately denied the entire claim since the documentation did not support the claim. It’s important to review claims within…Continue Reading
A patient presented to a free-standing ER with COVID symptoms. Afterwards, the provider charged $4,169 of which the plan would have paid $3,951 for a level 1 ER visit and 7 lab tests. After review, Nokomis denied all of the lab tests because the documentation didn’t support the tests that they billed, ultimately bringing the…Continue Reading
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