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Hi mconner001,
Did you find this website? [URL]https://wa-provider.kaiserpermanente.org/provider-manual/billing-claims/claims/claims-ra[/URL]
Inside this link it states:
Our electronic 835 remitta... [ Read More ]
We are getting denials from Kaiser for our pathology services stating the diagnosis code is not appropriate. When there are no findings on the pathology report and the provider took biopsies because... [ Read More ]
Clover is retracting tons of claims for the modifier used. I bill for a ambulatory surgical center. We bill 45380 with 43239 51 modifier. Clover is denying for the procedure code is inconsistent with ... [ Read More ]
Anyone know what's up with this? I am new to coding but haven't had any issue with these two modifiers until now. The holds messages are from now all the way back to November. If I remove either SA or... [ Read More ]
Hello,
Below, please find an email regarding a (FREE) virtual opportunity to learn medical coding from an approved AAPC Educator.
It may, also, be of benefit to our local chapter members who may ... [ Read More ]
[QUOTE="trarut, post: 490178, member: 7736"]
CO-16 just means there is an error in the information submitted.
[B][I]CO-16[/I][/B][I] Claim/service lacks information or has submission/billing error(s... [ Read More ]
CO-16 just means there is an error in the information submitted.
[B][I]CO-16[/I][/B][I] Claim/service lacks information or has submission/billing error(s). Usage: Do not use this code for claims at... [ Read More ]
Hello. Is anyone else as upset about UHC's new OptumPay service as I am? We are a small CAH and cannot absorb the cost of paying for a remittance advice. I actually question if this is even legal. ... [ Read More ]
I billed Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use (90672) with administration code(90473) and got denied as follows:
The administration method and drug must be reported... [ Read More ]
90746-Hep B vax, adult dosage, 3 dose schedule, IM
90471-Vax administration, one vaccine
86580-TB skin test (including the the injectate)
I like to list the full codes in case we're dealing with typo... [ Read More ]
AAPC member Rosa Yanez CPC CRC CGIC CGSC has been a medical coder for 15 years and has worked for Humana as a senior Medicare risk adjustment educator for more than two years. Risk adjustment educatio... [ Read More ]
Understanding the rules surrounding interrupted stays in IPFs and IRFs is as easy as 123. When an interrupted stay occurs in an inpatient psychiatric facility IPF or inpatient rehab facility IRF a com... [ Read More ]
Using the right workload system leads to employee success. In any healthcare workplace employee accountability and engagement are paramount to patient and provider satisfaction as well as monetary liv... [ Read More ]
Embrace DEI data in applied behavior analysis and improve patient care for all. In the realm of healthcare the field of applied behavior analysis ABA has long been committed to understanding and impro... [ Read More ]
Know the rules for compliance before engaging in telehealth services. One of the things we love most about the internet is its unregulated nature. We post and share whatever we want achieving unpreced... [ Read More ]