commercial billing

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    Wiki Billing Secondary commercial payers

    Hi everyone :) Wondering if anyone could help answer my question in Billing the secondary commercial plan. Just an FYI- Primary is also commercial. Which amounts do we bill the secondary plan? The all amounts that the primary did not cover including denied procedures? Only patient...
  2. K

    Wiki Billing Denied AWV to secondary commerical insurance?

    If a patient's annual wellness visit (G0439) is denied by Medicare because the patient has come in too soon and Medicare puts it to patient responsibility, should you bill it to their commercial secondary given that this is a code that only Medicare uses and covers? This is what they are doing...
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    Wiki 10yr Revenue Cycle professional seeking remote per-diem position

    Hi All, I was recently certified and I am looking to gain experience. Open to all learning/growth opportunities. Resume Attached.
  4. K

    Wiki Home Health - skilled nursing units

    I do commercial billing for a home health agency. We use S9123, "nursing care, in the home, by registered nurse, per hour" for each skilled nursing visit, specifically for billing United Healthcare. The problem is that the claims are auto generated and sometimes they will have multiple units for...
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