Recent content by cjagustin

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    Wiki can cpt 22612 be billed on an OP claim?

    thank you very much!!!
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    Wiki can cpt 22612 be billed on an OP claim?

    I am using Nthrive which calculates the expected reimbursement for outpatient claims. It has an expected reimbursement for CPT 22612, so I am assuming that it is an OP procedure. When the claim was submitted to Humana Medicare, it denied the procedure because it is an IP procedure billed on an...
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    Question 97110, 97140

    I am seeing an increased trend of denials for 97110 and 97140 for invalid modifiers from Humana Medicare Advantage in our hospital claims. These were billed with modifiers KX and GP. I don't know what I am missing that is causing for these to deny. I am wondering if there has been a change in...
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