1. A

    Wiki Auditor to Provider Ratios/Average/Industry Standard

    Hello All :) I have been searching online for industry standards for auditor to provider ratios or an average number of providers auditors are responsible for. So far, I haven't had much success. I can find audit productivity information but not much on number of providers per auditor...
  2. E

    Wiki Denied Medicaid Claim

    First off, I absolutely hate Medicaid with a passion (lol) I'm located in Michigan and I received a denied claim Adjustment Reason Code 16: Claim/service lacks information or has submission/billing error(s) which is needed for adjudication. Do not use this code for claims attachment(s)/other...
  3. K

    Wiki Got a 68% on my first test...waiting on results for my 2nd test.

    I am more nervous than the first time I took the test. I was wondering how many of you passed the second time? I'm currently waiting on my results, last time I took it, it took the full 10 days to get my score!! I am hoping I get my score sooner this time.
  4. A

    Wiki Jejunal tube conversion to a Gastrojejunostomy tube

    I am having a hard time finding the correct CPT for this procedure. Coder has coded 49446 which I see how they got this by going through our encoder. But I see that it isn't correct. I keep getting an unlisted CPT. needing a little help as to which CPT to use. Here is the note: The existing...
  5. G

    Wiki Working Medicare without Medicare FISS DDE system

    Does anybody here have any advice for working Medicare denials when you don't have access to the FISS DDE system? My practice is having a terrible time getting denials fixed. Every time we resubmit something, it will get denied as "M80" which is essentially a duplicate. Medicare describes it...
  6. M

    Wiki Help!!! looking for a remote job

    I've never posted on this forum before but I'm hoping that with the support of everyone here maybe I'll be able to break this cycle of rejection. I've been working as a coder for almost 2 years, prior to that I was an auditor for a 3rd party insurance company. I worked remote briefly for a...
  7. D

    Wiki HELP!CF carrier testing

    I am having a difficult time in determining what codes do you bill for cystic fibrosis carrier testing in pregnancy. Is there a difference when you have low risk versus high risk? ACMG and ACOG appear to recommend a panel of 23. I am looking at 13 different codes that are billed with one code...