reimbursed

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    Wiki Dialysis Code Update

    How are Medi-Cal (CA managed care plan) providers being reimbursed for S9335 and S9339, there is no rate published for these codes. Effective 6/1/21 Z6012, Z6014, Z6030, Z6040 were terminated....
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    Wiki Telehealth/Telemedicine

    Does anyone use Telehealth/telemedicine to provide non face to face visits to patients? If so what are the guidelines you follow and are you reimbursed? Can this service only be provided to rural health professional shortage area?
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    Wiki Anesthesia cpt 99135

    I am researching how many times you would bill CPT 99135 per claim? I see that 5 units are allowed, so would you expect it to be billed out 5 times or only once and reimbursed x5? thank you for your help!
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    Wiki Bcbsnc, 99000 & 36415

    For the last few years we have been billing BCBSNC 99000 lab handling fee & 36415 venipuncture. BCBS would pay 99000 but deny 36415. In the last few months, both codes have been getting denied. I just found out that BCBS changed their Corporate Reimbursement Policy to say that 36415, 36416 &...
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    Wiki Humana not paying for WCC when immunizations billed

    Even though we have modifier 25 on the preventive visit line, lately Humana has been denying it saying, "This procedure code was not reimbursed because the service was included in another service provided at the same time." Any suggestions?
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