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    Wiki 10555-10557- OPTUM DENIALS!!

    We are having such a hay day with the amount of denials that we are getting from Optum for our lesions. We have billed it for patient's that "qualify" per Medicare guidelines We have billed it for patients with just pain, with diabetes, diabetic neuropathy, etc... and we still keep getting...
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    Wiki G0260 Medicare denial to medical necessity

    Also running into the same problem. According to the LCD that we have pulled, we are clearly following the guidelines provided.. but still denying for LCD? Any help, we will take!!
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