AAP Coding and Payment Hotline
Your Name
*
First Name
Last Name
AAP Member Status
*
Non-member
Member
Name of AAP Member For Whom You Work
*
First Name
Last Name
Your Email
*
example@example.com
Your Organization Type
*
AAP Chapter
AAP Staff
Ambulatory Care/Pediatrics Facility/ Clinic
FQHC
Hospital System (Academic)
Hospital System (Non-academic)
Independent Pediatric Practice
Payer
Rural Health Clinic
Urgent Care
Other (Non-Pediatric)
If other, specify organization type
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City
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Your AAP Chapter/State
*
Alabama
Alaska
Alberta
Arizona
Arkansas
Atlantic Provinces
British Columbia
California 1
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California 4
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New York 3
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Ohio
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South Dakota
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Texas
Uniformed Serv East
Uniformed Serv West
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Your Practice's geographical location
*
Rural
Suburban
City
Your Specialty
*
General Pediatrician
Pediatric Medical Subspecialist
Pediatric Surgical Subspecialist
Multi-Specialist
Do you subscribe/purchase the AAP Pediatric Coding Newsletter?
*
Yes
No
If you do not subscribe are you interested in learning more?
*
Yes
No
Is this a payer related issue
*
Yes
No
Payer Type
*
Commercial
Medicaid/Medicaid MCO/CHIP
Tricare West/East (Including Humana Military and Health Net Federal Services)
Health Insurance Exchange
Multiple Payer Types
Payer Name
*
Aetna/CVS
Amerigroup
Amerihealth
BC/BS (Excludes Elevance Health/Anthem)
Centene (Including local state plans)
Cigna
Elevance Health/Anthem
Highmark
Humana (Excludes Humana Military)
Kaiser Permanente
Meridian
Molina
UnitedHealthcare/Optum
Tricare (Including Humana Military and Health Net)
Other
Which BC/BS Plan (Federal or Which Specific State)
*
Payer Issue (Please select the payer issue that best describes the issue)
*
Bundling and Denials
Contracting Issue Not Elsewhere Listed (Patient Attribution, Fee Schedule, Prompt Pay, Delayed Payment)
E/M Downcoding
Pay for Performance
Prior Authorizations
Provider Network Issue (Out-of-Network, Credentialing)
Plan Member Issue (Patient Out-of-Pocket Issue/Advanced Beneficiary Notice, Member Eligibility)
Quality or HEDIS Measures
Vaccine Product Payment Issues (Excludes Administration)
Vaccine Administration Issue (Excludes Product Payment)
Well Child Coverage/EPSDT
Laboratory Payment Issue
Payer Policy (Medical or Payment Policy)
Coding/Other Categories (Please choose most specific categories)
*
After Hours Services
Assessments (Health Risk, Emotional-Behavioral)
Breastfeeding/Lactation Counseling
Care Management Services (Chronic Care, Complex Chronic Care, Transitional Care)
Category II/III CPT Codes (Quality Metric Codes and New Technology Codes Only)
Claim Edits
Coding Publications Inquiry
Coding Webinar Inquiry
Documentation Guidelines
Global Periods
HCPCS Level II Codes
ICD-10 CM Coding
Incident to Billing
Inpatient Coding (Emergency Department vs Observation Coding, Transfer of care)
Laboratory Services
Modifiers (25, 33, 59, Other modifiers)
New vs Established Patient
Newborn coding (normal, intensive, critical)
Obesity Services
Office Visit E/M Coding
Practice Expense (Clinical Staff Time, Medical Supplies, Medical Equipment)
Procedure(s) (eg, Asthma, Cerumen Removal, Circumcision, Fracture Care, Fluoride Varnish Application)
Prolonged Services
Public Health Emergency (PHE) (eg, COVID-19 Pandemic) Coding
Relative Value Units (RVUs)
Resident/Student Documentation/Primary Care Exception Rule
Screenings (Hearing, Vision, Maternal Depression, Developmental)
Synagis (RSV)
Telemedicine/Telehealth Services (Non-Face-to-Face Services)
Time as the Key Factor
Vaccines (Products, Administration, Vaccines for Children Program)
Well Child Care/EPSDT
Other
Describe Issue In Detail
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Upload Files (eg, Explanation of Benefits)
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of
AAP Response
AAP Coding Resources
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Provider Response
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