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#billing/reimbursement

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    Wiki Getting reimbursed for repeat dialysis patients

    Looking for some guidance on dialysis billing. I've got a handful of patients with VA insurance, and VA requires pa's for basically all services. Unsure how to go about getting a pa for dialysis for these patients or if there is a way to over-ride the hold. I use AthenaOne. Thanks!
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    Wiki Insurance denying E0562 due to incorrect modifier

    BCBS began denying HCPCs E0562 when billed w/ E0601 due to incorrect modifier. All other insurances accept E0562 w/ NU KX, but not BCBS. EOB states "denied b/c we have not received the requested modifier code to process the claim." Billing as outpatient and professional. Please advise, I have 5...
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    Wiki 76536/POCUS Thyroid/Endocrinology office

    Hello fellow coders, I have some questions regarding POCUS in an Endocrinologist office and I hope someone can provide their expertise/experience. Our provider does a quick, focused ultrasound at the bedside (we own equipment). Sometimes she will find, for example, a rather large nodule but...
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    Wiki FQHC Biller needs help!

    Anyone billing for TCM? Are you billing an EM level with the transition care code (99495 or 99496)?
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