denials prevention

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    Wiki J2790 denials

    We have repeatedly billed J2790 with NDC N400562780501 300 MCG or N400562780505 UN 300mg with e/m 99214 both with and without modifier 25 and nothing works to get reimbursement on the J2790. We get denials for either billing errors or incorrect NCD. I have repeatedly called Provider Relations...
  2. M

    Wiki Weight management billing

    I do billing for a provider who considers himself a weight management specialist. His primary method is a combination of medication and weight management counseling. He also acts as a PCP for his regular patients, but his main priority is weight management. When we bill insurance, we typically...
    • mforsyth
    • Thread
    • appeals billing coding denials prevention insurance billing weight weight loss
    • Replies: 0
    • Forum: Billing/Reimbursement
  3. S

    Wiki ER to Inpatient on Same Day: Different docs, same TID

    Hey all, The hospital I work for have our ER physicians and Hospitalists under the same TaxID. When our ER physician sees a patient and admits to inpatient: then the hospitalists sees the patient the same day- We are getting the ER charge denied... Is this correct? Is there anyway around this...
  4. H

    Wiki cpc with outpatient, hospital and facility experience

    Nichole Morris, CPC NicholeHMorris85@gmail.com Medical Billing & Coding Accomplished professional with solid background in health care clinical operations, including medical billing and coding standards, financial policies, and medical record documentation. Expertise in insurance...
    • harrin
    • Thread
    • chemotherapy coding claim denials coder 1 denials prevention facility billing hospital coding infusion coding oncology revenue cycle management
    • Replies: 0
    • Forum: Resume Postings
  5. M

    Wiki Denials prevention

    Hello, everyone I have been given an opportunity to become a denials prevention specialist. I just need clarification on what this role actually does and what they are to see on a day to day basis. Also what is to be expected? Please and thank you, I just want to be prepared before start date...
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