medical billing

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    Wiki Pennsylvania Medicaid Audio-Only Telehealth Denials

    I'm in need of some help here with audio-only telehealth claims for Medicare patients with secondary Pennsylvania Medicaid plans. When billing Medicare (as primary), we use codes 99441-99443. However, we run into a problem with the claim going to secondary. PA Medicaid only accepts G2012 for...
    • caitlin1994
    • Thread
    • audio only audio-only audio-only telehealth billing medicaid medicaid pennsylvania medical billing medical coding pennsylvania telehealth
    • Replies: 0
    • Forum: Billing/Reimbursement
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    Wiki Medical vs. Dental Codes

    I'm having a hard time with Highmark claims when it comes to billing wisdom teeth extractions to medical insurance using medical codes. The first code always pays, but all of the subsequent codes on the claim deny as duplicates. I make sure that the teeth numbers are on the claim too. Am I...
    • caitlin1994
    • Thread
    • cpt cpt codes dental dental billing dental codes dental coding medical billing medical billing & coding wisdom teeth wisdom tooth
    • Replies: 2
    • Forum: Billing/Reimbursement
  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...
    • caitlin1994
    • Thread
    • audiologist audiology services cpt cpt 92633 insurance billing medical billing medical coding speech therapy
    • Replies: 0
    • Forum: Billing/Reimbursement
  4. N

    Wiki Does the ICD-10 Name/Description make the code INVALID?

    Hello, we are having Rejections and errors due to ICD-10 Codes coming over with different names/descriptions. IE M46.1 being Bilateral Sacroiliitis instead of Sacroiliitis, not elsewhere specified. We are even getting claims denied because of M54.16 being Radiculopathy of lumbar region instead...
  5. Y

    Wiki When to drop to PR when secondary payer processed to PR?

    I'm relatively new to Medical billing. I have a Medicare crossover claim here where they processed $25.94 to PR coinsurance but then Aetna secondary processed paid the $25.94 and put an additional $40 to PR copay. Do I bill the difference between $40 and $25.94 to the patient or is this an...
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