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Does your provider8217s nebulizer and inhalation drug documentation pass this OIG audit test Since 2010 the Centers for Medicare 38 Medicaid Services CMS Comprehensive Error Rate Testing CERT program ... [ Read More ]
About 150 million less will make it into home health than proposed. The scores of comments on the Home Health final rule for 2021 fell mostly on deaf ears. The Centers for Medicare 38 Medicaid Service... [ Read More ]
Revised instructions indicate payment status for new CPT codes. The Centers for Medicare 38 Medicaid Services CMS has issued changes to the October update of the 2020 Medicare Physician Fee Schedule D... [ Read More ]
When our office bill commercial insurance for Screening/Diagnostic mammogram w/ tomosynthesis same day, Cpt code 77063 is always denied for "procedure code incidental to primary procedure".
... [ Read More ]
Procedure Performed: Right VATs surgery with right apical lung resection and chest tube placement for mechanical pleurodesis.
OPERATIVE COURSE: Patient was taken to the operating room, timeout calle... [ Read More ]
I have received a couple of denials for CPT 25301 as "services not documented in the patient's medical records" after they have been reviewed by Orthonet. My surgeon disagrees. Does anyone h... [ Read More ]
We are an outpatient surgery center and usually when we bill a three level bilateral cervical/lumbar radiofrequency ablation procedure it would look something like this (example):
6463... [ Read More ]
Our office is suddenly having denials from UHC for Toradol stating it needs a modifier. UHC is only denying the J1885. This is something that has just recently started happening. When we call UHC th... [ Read More ]
Does anyone know of a procedure code for diagnostic lap with intrauterine device removal. I've looked for laparoscopic iud removal with no luck. The only code I see is 58301, but that does not appea... [ Read More ]
Utilizing the 2021 New E&M Outpatient Coding Guidelines, Please code this E&M
Patient 1: This established 2-year-old female presents with cough, nasal discharge, and fever. Cough onset was on... [ Read More ]