What is “inclusive denial” in medical billing?

Inclusive Denial in Medical Billing

Inclusive denial occurs when an insurance company denies payment for a service because it is considered part of a previously billed procedure.

Inclusive Denial in Medical Billing Explained

In medical billing, an inclusive denial happens when a provider attempts to bill for a service that is already included in the payment for a related procedure. The insurance company denies the claim, stating that the service is part of the global fee.

For example, a claim for post-operative care may be denied because it is included in the global period for the original surgery.

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