AAP Coding Hotline and Hassle Factor Form

AAP Coding Hotline and Hassle Factor Form
Your Name *

First NameLast Name
AAP Member Status*
Name of AAP Member For Whom You Work*

First NameLast Name
Your Email*
example@example.com
Your Organization Type*
If other, specify organization type*
City*
Your AAP Chapter/State*
Your Practice's geographical location *
Your Specialty*

General PediatricianPediatric Medical SubspecialistPediatric Surgical SubspecialistMulti-Specialist
Do you subscribe/purchase the AAP Pediatric Coding Newsletter?*

YesNo
If you do not subscribe are you interested in learning more?*

YesNo
Is this a payer related issue*
Payer Type*

CommercialMedicaid/Medicaid MCO/CHIPTricare West/East (Including Humana Military and Health Net Federal Services)Health Insurance ExchangeMultiple Payer Types
Payer Name *
Which BC/BS Plan (Federal or Which Specific State) *
Payer Issue (Please select the payer issue that best describes the issue)*

Bundling and DenialsContracting Issue Not Elsewhere Listed (Patient Attribution, Fee Schedule, Prompt Pay, Delayed Payment)E/M DowncodingPay for PerformancePrior AuthorizationsProvider Network Issue (Out-of-Network, Credentialing)Plan Member Issue (Patient Out-of-Pocket Issue/Advanced Beneficiary Notice, Member Eligibility)Quality or HEDIS MeasuresVaccine Product Payment Issues (Excludes Administration)Vaccine Administration Issue (Excludes Product Payment)Well Child Coverage/EPSDTLaboratory Payment IssuePayer Policy (Medical or Payment Policy)
Coding/Other Categories (Please choose most specific categories)*

After Hours ServicesAssessments (Health Risk, Emotional-Behavioral)Breastfeeding/Lactation CounselingCare Management Services (Chronic Care, Complex Chronic Care, Transitional Care)Category II/III CPT Codes (Quality Metric Codes and New Technology Codes Only)Claim EditsCoding Publications InquiryCoding Webinar InquiryDocumentation GuidelinesGlobal PeriodsHCPCS Level II CodesICD-10 CM CodingIncident to BillingInpatient Coding (Emergency Department vs Observation Coding, Transfer of care)Laboratory ServicesModifiers (25, 33, 59, Other modifiers)New vs Established PatientNewborn coding (normal, intensive, critical)Obesity ServicesOffice Visit E/M CodingPractice Expense (Clinical Staff Time, Medical Supplies, Medical Equipment)Procedure(s) (eg, Asthma, Cerumen Removal, Circumcision, Fracture Care, Fluoride Varnish Application)Prolonged ServicesPublic Health Emergency (PHE) (eg, COVID-19 Pandemic) CodingRelative Value Units (RVUs)Resident/Student Documentation/Primary Care Exception RuleScreenings (Hearing, Vision, Maternal Depression, Developmental)Synagis (RSV)Telemedicine/Telehealth Services (Non-Face-to-Face Services)Time as the Key FactorVaccines (Products, Administration, Vaccines for Children Program)Well Child Care/EPSDTOther
Describe Issue In Detail*
Upload Files (eg, Explanation of Benefits)

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Please note that if you select certain payer categories, we require a redacted EOB with a claim number in order to work with the payer. Cancelof
AAP Response
AAP Coding Resources

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Provider Response
AAP Payer Staff Categories (Internal Use Only)
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