Adverse side effects make the Janssen vaccine an option of last resort. Emergency use authorization guidelines for Johnson 38 Johnsons COVID19 vaccine labeled as Janssen and reported with CPT code 913... [ Read More ]
Recipients still have time to report Provider Relief Fund payments if they can prove extenuating circumstances. The deadline for requesting lateProvider Relief Fund PRF reporting for Period 1 has pass... [ Read More ]
A quarterly update for the Clinical Laboratory Fee Schedule CLFS issued May 4 includes nine new CPT codes for proprietary laboratory analyses PLAs. Medical coding and billing staff that process claims... [ Read More ]
Medicare Advantage Organization denials raise concerns that private insurers are maximizing profits at the expense of patients. Every year tens of thousands of people enrolled in private Medicare Adva... [ Read More ]
Coverage would continue after 36 months. On April 22 2022 the Centers for Medicare 38 Medicaid Services CMS issued a proposed rule under the Consolidated Appropriations Act 2021 CAA that would in part... [ Read More ]
Hi,
How do we get the primary non-contracted insurer to get past the clearing house in order to have a denial/EOB to provide the secondary Medicaid for claims to payout?
Thx!
Taylor... [ Read More ]
A patient has an IUD place in the am. She returns to the office late in the sam day in pain and wants the IUD removed. It is removed. Is this considered two office visits? Do you still bill for the IU... [ Read More ]
Patient's certification was signed after DOD who has Medicare insurance. Can we still bill to Medicare and if so what DOS can we bill? or do we need to bill to the HHA?
Please help who is responsib... [ Read More ]
My provider is only contracted with Medicare. He says since he isn't contracted, he can say no and refuse to give the charts to the insurance carrier for review. Does anybody know if that's correct?... [ Read More ]
Hi
Can someone help me in separating the total number of units and sites. I understand Botox is given in 31 sites and total of 155.
2 vials each of 1 units of Botox was each reconstituted with 2 cc ... [ Read More ]
Hi... We're looking for help for a United Health Commercial member. Our patient had a telephone only visit with our physician in January 2022. We used CPT code G2012 only, as we used all of 2021. Our ... [ Read More ]
If we mix two drugs for a patient in separate bags and bring both to chair side but during the first drug infusion the patient has a reaction, can we bill for the second drug as it was intended to giv... [ Read More ]
If we mix two drugs for a patient in separate bags and bring both to chair side but during the first drug infusion the patient has a reaction, can we bill for the second drug as it was intended to giv... [ Read More ]
Hello,
I'm needing help in using the best suitable DX. Provider documented under the assessment/plan; likely suspicious Post Dural HA. SVD day 4. Are either of the following appropriate:
O90.9 C... [ Read More ]