Coding Hotline

Coding Hotline Form   Additional Coding Resources

The Coding and Payment Hassle Hotline Form helps members address coding and payment-related questions. It also allows them to stay updated on payment and revenue cycle current issues/trends, all in an effort to assist in the submission of clean claims for expedited payment.

We can review questions regarding specific coding, payment, and financing concepts. We will review your submission and typically respond within 3-5 business days. Please note that some responses will take longer due to the intricacies of the question. 

The AAP Coding and Payment Hassle Hotline cannot review patient notes to verify appropriate coding and cannot code services for you. Therefore, we cannot be held responsible for possible issues with claims submitted to payers. You must code for only what was documented for a patient encounter.

Some questions concerning payment issues are complex and require members to identify the following:

• Claims submission status 
•  Claims denial status
• Specific contracted services with the Payer/Managed Care Organization (MCOs)
• Communication with Payer/MCO staff
• Payer policies

While we can try to advocate on your behalf, we cannot guarantee a resolution of payment issues related to payer policies, programs, processes, or contracting.

Any documentation submitted through the form MUST have all patient information redacted, as the AAP is not a HIPAA-covered entity. Any documentation received with HIPAA-protected information will be deleted before answering your question. Contact a qualified healthcare attorney for legal advice on reporting services under the Health Insurance Portability and Accountability Act (HIPAA).

For additional assistance with simplifying coding and optimizing payment results, check out our Pediatric Coding Resources.