insurance billing

  1. RaveenaS

    Wiki Insurance denied 2023 Code

    Pinnacol Insurance is denying a 2023 Hernia repair code, A/R reached out and was told that they are behind and are still using 2022 codes for 2023 services. Is that allowed by insurance to not follow the current year guidelines of reporting/coding? Is there any resources available that can help...
  2. M

    Wiki Double Coverage

    Im wondering what the correct practice is when a pt is double covered and the primary left $36 to patient responsibility, then the secondary left $44. Which is the correct amount to leave to pt?
  3. C

    Wiki Can an Audiologist Bill 92633?

    Hoping someone can help me with this... One of my company's clients is a Speech-Language-Hearing Clinic in Pennsylvania. They have speech-language pathologists and an audiologist. I was asked to look into whether the audiologist can bill CPT 92633 (auditory rehabilitation; post-lingual hearing...
  4. 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...
  5. L

    Wiki Certified Professional Coder seeking Remote position in any area

    To the hiring committee, Seeking a remote position with your company, I am eager to contact you with my interest. When reviewing the job description, I was excited to see how well my past experiences align with your company’s needs and position requirements. From reading your company’s website...
  6. E

    Wiki eCW - Posting Reversal of Payments

    Can somebody steer me in the right direction please?😧 So, I was originally trained that when an insurance company takes back money, I need to delete all charges and make sure claim balance is $0 because the insurance company is reprocessing the claim and wait until the next payment comes...
  7. K

    Wiki car accident billing

    I had a patient come in to our urgent care today who wanted to be seen for injuries sustained in a car accident. She said she didn't intend to open a claim with her auto insurance and wanted us to bill her medical policy. I explained that we only accept cash payment for car accidents because...
  8. C

    Wiki Incident-To Billing for Lactation consultant

    Hi, I'm looking into potentially bringing on a lactation consultant to our practice as a percentage based employee. Can we bill incident-to for the lactation consult's visits if the primary care physician in our office recommends the patient get lactation education/assessments? We're in...
  9. T

    Wiki Question if FL Provider continue to treat patient if becomes non-par with Insurance

    I have a question regarding a cancellation of par status with insurance....can we offer to continue to treat patients if they elect to stay here and pay out of pocket due to NON_PAR status now with their Medicare Advantage Plans? I think if patient is aware and signs off saying they understand...
  10. C

    Wiki Contract Billing and Credentialing from Home

    Certified Coder and experienced billing and credentialing from home. Current knowledge of navigating current, complicated billing procedures and guidelines. Would love to talk to small, independent practice. If in the Dallas area, would be available to meet regularly in the office.
  11. K

    Wiki Global maternity

    The patient was seen an excess of 7+ visits and then the c-section with post partum visits. Has anyone ever had an insurance company deny billing the global with the post partum because her plan will be termed prior to her global post partum completion date?? 6 weeks post partum and her...
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