Records that showed an insurance carrier gave the required 10-day notice before downcoding a physician's bills were sufficient, even though the notices were not signed, the Pennsylvania Commonwealth Court ruled.Case: Jaeger v. Bureau of Workers' Compensation Fee Review Hearing Office, No. 2205 C.D. 2010, 06/22/11.Facts: Dr. Scott H. Jaeger provided 40 vertebral axial decompression (VAX-D) treatments to claimant Miseal Adame. He submitted three invoices to CNA. On each one, Dr. Jaeger assigned the Medicare Billing Code 97799, which is a code for "miscellaneous physical therapy."CNA sent...
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