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medical records request

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    Wiki UHC - records request

    Has anyone had any luck with the new way UHC is requesting records for review? We've started to get requests for records, but now they're asking for manufacturer and model number of equipment used (bill for path lab), as well as manufacturer and brand info for testing supplies. If you've sent...
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    Wiki Anthem Denials for Substance Abuse

    Beginning March 1, 2018 our California facility began receiving denials for our institutional claims and are now requesting medical records. We are aware that the codes do change twice a year but this is more than that. We are looking for advice from fellow substance abuse billers. Has anyone...
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    Wiki Coding w/o a pathology

    Patient referred to our oncologist with a solitary pulmonary nodule, no pathology. The physician has entered a cancer diagnosis into the patient's EMR. She states that this is a clinical diagnosis based on her findings and patient history. I have advised her against this in the event that...
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