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molina

  1. C

    90966 POS 65 vs POS 12 – Is Molina Correct on Recoupments?

    Has anyone run into this? We are billing 90966 (home dialysis MCP) with POS 65 when the monthly face-to-face ESRD MCP visit is performed in the dialysis clinic (patient is a home dialysis patient but comes in monthly). Molina initially paid these claims and is now recouping them, stating POS...
    • Christig83
    • Thread
    • 90966 cms guidelines dialysis esrd mcp molina nephrology coding pos 12 pos 65 pos coding
    • Replies: 1
    • Forum: Modifiers
  2. A

    UT Medicaid Urine Drug Testing Carve-out

    I know this is a rather specific question so even if you have any input that would be fantastic. I've been going back and forth for the last 5-6 years with MCOs in Utah about the substance use disorder (SUD) carve out for UDT. The only place the carve-out is mentioned is in a MIB from April 2018...
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