Humana denials on chemo waste based on vial size
Humana is denying payment on our chemo waste based on what size vial we should have used; not what is documented as waste.
Example: We billed for 34 units and 26 units were documented as waste from a 60 mg vial.
Humana is denying to pay for 26 units of waste. Humana states that we should NOT have used a 60 mg vial. According to Humana we should have used a 30 mg vial and a 10 mg vial for the 34 units to be given and we should have billed for only 6 units of waste.
We have filed several appeals and have not received a response.
Is anyone else seeing this trend? Any ideas on how to fight this denial?