Hi, Robin and All:  I looked at the website you posted, Robin.  Thanks!  I will 
have our billing tech take a look at the site.  Within the last 6 months or so, 
moms have been telling me that BC/BS (Blue Cross/Blue Shield insurance) is 
denying their claim for outpatient lactation consults we do here at the 
hospital.  I asked a mom yesterday to call BC/BS to find out why they are 
suddenly denying these claims.  She was told that it is the billing number the 
hospital is using.  Apparently the number the hospital is using shows that the 
visit is a doctor's office visit.  We do see our outpts under a written doctor's 
order which is submitted with the paperwork, but because the hospital is not 
using a billing code with lactation consult or visit in it, BC/BS feels they can 
deny the claim.
Will this number solve this problem?  Anyone in the hospital using one of these 
numbers?


Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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