Recent content by MonarchMedBill

  1. MonarchMedBill

    CCPC Study Guide?

    Hi there! I am looking to expand my credentials and have several that I am interested. Does anyone have a 2016 or 2017 CCPC study guide that you are willing to give away or sell? I would appreciate it! Thanks so much!!
  2. MonarchMedBill

    CPEDC Study Guide?

    Hi there! I am looking to expand my credentials and have several that I am interested. Does anyone have a 2016 or 2017 CPEDC study guide that you are willing to give away or sell? I would appreciate it! Thanks so much!!
  3. MonarchMedBill

    COBGC Study Guide

    Hi there! I am looking to expand my credentials and have several that I am interested. Does anyone have a 2016 or 2017 COBGC study guide that you are willing to give away or sell? I would appreciate it! Thanks so much!!
  4. MonarchMedBill

    CFPC Study Guide?

    Hi there! I am looking to expand my credentials and have several that I am interested. Does anyone have a 2016 or 2017 CFPC study guide that you are willing to give away or sell? I would appreciate it! Thanks so much!!
  5. MonarchMedBill

    Looking for Study Guides for the following:

    Hi there! I am looking to expand my credentials and have several that I am interested. Does anyone have a 2016 or 2017 study guide for any of the following credentials that you are willing to give away or sell? COBGC - O/B CPEDC - PEDIATRICS CFPC - FAMILY PRACTICE CEMC - E/M CCPC - CHIRO I...
  6. MonarchMedBill

    J0885 medicare denial when billed on 2 separate lines

    Our office is being denied payment on our Procrit claims from Medicare. We are billing for 33k units. To do this we have to use 2 separate containers - one for 22 units and the other for 11 units. These each have separate NDC codes, due to the amount differential. We bill it like this...
  7. MonarchMedBill

    BCBS Texas recoupment 4+ years later

    Senate bill 418!!!!!!!!!!!!!!!!! BCBSTX does this often and I always fight it with Senate Bill 418!!! (Note: This will only work if the contract you have with the insurance company was signed AFTER 08/16/03.) As signed by the Governor - June 2003 On Senate Bill 418 Prompt Pay Legislation, it...
  8. MonarchMedBill

    Insured patients - Can they self/cash pay?

    There are 2 sides to my question: 1.) Recently I came across a patient that was seen in our office for a specialist follow up visit. The patient's insurance (BCBSTX) requires a referral from the PCP. The PCP on file was contacted but stated he is not the patient's PCP, has only seen the...
  9. MonarchMedBill

    topics for 500 word article

    Ah! Thanks! Got it! Thank you!
  10. MonarchMedBill

    Denial issues: No ROS and PEG tube placement

    Thank you! I was pretty sure I needed to remove the 57 mod. I also used an NCCI Edit checker and came up with the same information. Thank you for your help! Can anyone else offer help with the other questions?
  11. MonarchMedBill

    Denial issues: No ROS and PEG tube placement

    Good morning! I have a claim I am struggling with. This claim was initially billed to UHC as: 02/05/17 99223 02/06/17 99233 - 57 02/07/17 31600 02/07/17 43246 - 59 I have several issues with this claim/denial: 1. Line 02/05/17 99223 was denied for level of service. We sent the...
  12. MonarchMedBill

    What to do with patient balance?

    Thank you! Good information and great insight. I have only been with the company about a month so I'll have to tread lightly. I am a CPC, CPB and I just sat for my CPMA yesterday, but I am still so new here, my opinions aren't quite appreciated yet. My thoughts were that we needed to...
  13. MonarchMedBill

    Question about patient balance

    I have a question about what to do with a patient balance. I posted this question in the reimbursement section, but thought I might get an answer here as well... Here is the link to my original post: https://www.aapc.com/memberarea/forums/151370-patient-balance.html#post419052
  14. MonarchMedBill

    What to do with patient balance?

    Hi guys! I work in a physician network for a set of physicians. One of our physicians did a bariatric consult. He did not sign/lock the progress notes until 117 days after the DOS. The insurance is UHC and our contract states timely filing is 95 days. In our office, this tends to happen...
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