Day two of HEALTHCON 2021 began with attendees getting fired up for the day in the HCON Chat. One member wrote, “This is my first ever HEALTHCON conference, I am so excited for today!!!” There wer... [ Read More ]
Several changes have been recently made to the ICD-10-CM Official Guidelines for Coding and Reporting for fiscal year (FY) 2021. The guidelines changes affect code assignment for conditions and sympto... [ Read More ]
Uninsured patients don't have to be the downfall of your practice during the COVID-19 pandemic.
The post Get Paid for COVID-19 Testing/Treatment of Uninsured appeared first on AAPC Knowledge Center.
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Patient has BCBS insurance, they were seen by the practice GYN for well woman coded 99386 without PAP completed. 2 months later patient comes and see the family provider for an annual physical coded 9... [ Read More ]
If your counselor has one visit with the parent without the patient -90846 and then on the same day they see the minor patient for initial intake 90791- Can you bill out both visits? and how would you... [ Read More ]
Anthem BCBS is not allowing payment on CPT code 63047 for the surgeon stating it's bundling to 22633. We have a 59 modifier on CPT code 22633 as we billed 63047 as the primary procedure. I know 22633 ... [ Read More ]
Patient is referred to general surgery (seen in office). Patient is diagnosed with colon cancer, is admitted as inpatient, undergoes colectomy by general surgeon, is followed post op, and discharged h... [ Read More ]
I work for a portable ultrasound and X-ray provider serving Medicare patients who are home bound or in Assisted living facilities. Our claims are being denied by Blue Cross as "Service not compat... [ Read More ]
I have an office visit (CPT 99213-24) denying as "service is inconsistent with the patient's history". The dx is cervicalgia M54.2
The patient came in for a follow up visit following carpal ... [ Read More ]
I am trying to bill 87811 to Medicare for the rapid COVID test and they are denying it stating that the CLIA # the provider has does not support this test. Is there something special we need to do to... [ Read More ]
We have 2 podiatrists in the same practice or share the same tax id. One assisted the other in a surgery and used the modifier 80 for his charges. Our EMR is saying it may be a duplicate charge. Sh... [ Read More ]
I am wondering if anyone can help me with the appropriate code for DSD. The documentation doesn't give a site. When I try to look it up in the code book, I don't see a NOS code. Isn't t... [ Read More ]
I just started billing these codes. Can someone tell me if the POS to be use for these codes is 11 or 21 since the patient was in the hospital during the video/phone consultation? Is modifier 95 need... [ Read More ]