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aetnamedicare

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    Wiki AETNA MEDICARE ADVANTAGE WWE

    I HAVE A PATIENT THAT CAME IN FOR WELL WOMAN EXAM WITH AETNA MEDICARE AND WE BILLED 99397 WITH DX Z01.419, Z12.4, AND Z11.51; THE BENEFITS QUOTED STATED WWE IS ALLOWED EVERY 12 MONTHS BUT WHEN THE CLAIM PROCESSED IT WAS DENIED FOR BENEFITS EXHAUSTED. I HAVE HAD THIS CLAIM SENT BACK 4 TIMES AND...
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    Wiki Aetna Medicare denying Venous Studies

    Aetna Medicare has started denying venous studies (CPT 93970 & 93971) due to frequency. They cite CMS LCD & Article as it only allows one per year. No other payers including Medicare are following the LCD. Any suggestions?
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    Wiki Aetna Medicare: Zilretta Policy

    Hi all, I'm inquiring about the Aetna Medicare Zilretta Injection Policy. Does a patient have to wait 3 or 6 months between Zilretta (J3304) Injections? I cannot find that information anywhere! Thanks!
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