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payer edits

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    Wiki JZ Modifier Edits

    Hello! Has anyone else been receiving any feed back from payers on the JZ modifier? We have just gotten a notification from one of ours saying that our office has hit a lot of edits for lack of use on that modifier. We are ortho - so we see a lot of use for Kenalog, Depo-Medrol and such and I...
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    Wiki Payer Frequency Edits-UHC

    Hoping someone can help me. I have been recently getting "Edits" (before claims reach payer) to detect any errors in billing/coding and payer edits referring to 26055 & 20550 from UHC/Oxford. Apparently only (1) unit per day is allowed as of 10/1/2016. This seems sort of silly as 20550 is a...
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