Forums Other Topics Consultation Review Preemptive letter to patients

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    John Leitner
    Spectator

    I just got a nice note from our friends at Delta questioning one of the patients I treated. Seems I treated her full mouth (with laser!) in one seating and they wanted me to clarify if that did indeed happen. I told them to read my notes and that it was reported correctly as all the information they requested was. Sheesh!!

    #22658 Reply

    Michael Aiello
    Spectator

    It wouldn’t surprise me if Delta denies your claim based on its guideline to reject D4260 if more than 2 quadrants are done in one day. This is listed in the guidelines that Bob Gregg posted in the main LDF.

    Delta had been “creative” in its denial of my claims when I was originally put on focused review quite awhile ago.

    The sooner we can get the ADA/MDA involved to help us the better.

    #22652 Reply

    John Leitner
    Spectator

    Well, this was the patients desire due to family issues. The case has been paid by Delta (I know, they will just take it from future stuff sent in). See ya next FridaY?

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