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commercial insurance

  1. L

    Wiki Medicare AWV codes being billed to commercial insurance

    We recently started billing for a new practice. They are billing G0438 and G0439 to non-Medicare aged patients that have commercial insurances. In most cases, the commercial insurances are paying. As far as I knew, this was a Medicare code and would only be reimbursed by Medicare & Medicare...
  2. R

    Wiki Guidance

    I am being asked to bill out one way to commercial insurances and then another to Medicare/Medicaid patients. I am under the impression that is not compliant..... example would be that the pt is having pain injections and has commercial insurance, they want me to just bill for the injection and...
  3. K

    Wiki Chronic Care Management - Medicare Secondary

    Hello! If we have a patient with private BCBS as primary and Medicare Part B as secondary, can we still bill for Chronic Care Management? I am thinking yes, because they are technically a Medicare patient, but I can't find anything to say it's okay to bill this to a commercial payer. The...
  4. E

    Wiki Prenatal Coding (Commercial Insurance)

    Hi all - we have a patient who presented one time in the office for prenatal care. She was previously seen by another provider at a different office for her prenatal visits but when her insurance changed she was told she wouldn't be able to see the other doctor, so she came to us. However, after...
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