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  1. KStaten

    Wiki Documentation Requirements for Components of E/M

    Hello Everyone! With the new 2021 E/M Documentation changes, there have been questions that have arisen in regards to requirements for the HPI and Exam. Now that these components are deemed "medically appropriate" by the provider, that leads some to think that the extra the flexibility extends...
    • KStaten
    • Thread
    • 2021 ancillary staff documentation e/m exam hpi provider required
    • Replies: 8
    • Forum: E/M
  2. M

    Wiki Ppd

    Can someone let me know if a LPN can plant the PPD for a patient? I know a RN can but not sure of the LPN. Also, the company I work for is now accepting CIGNA health plans and want to pilot PPD since its a required test needed for employees. Can a patient just get a PPD without an OV? Thank you!
  3. T

    Wiki Humana denial

    Our patient underwent carpal tunnel surgery. Humana has denied the claim stating a modifier is required for this procedure. The other coder in our office & myself were discussing the fact that since ICD-10 has expanded diagnosis codes (like this one) to included specific location, is a...
    • tmarugg
    • Thread
    • humana icd-10 modifier required specific
    • Replies: 3
    • Forum: Modifiers
  4. B

    Wiki CPT code for holiday hours

    Our physicians want to bill code 99051 (open on Federal holidays). Has anyone had any experience in bililng this code. I understand that insurance companies are not required to pay for this code. Also, do you notify your patients before being seen that there is an additional charge? Any input...
    • buerklej
    • Thread
    • code notify patients pay required
    • Replies: 1
    • Forum: Pediatrics
  5. M

    Wiki Pre-Employment Testing

    Has any one ever applied for a coding position with MModal or any other company that requires one of these tests? I've been in the same position the past 12 years and am looking to make a leap. They want me to take a test and I may be a little rusty since I've only done what my job has...
  6. N

    Wiki Egd and ercp coding

    Any reason why 43235 would get denied when billed with ercp stent and stone removal? Medicare has denied two stating a co-b15 issue. "required that a qualifying service/procedure be recd and covered. Should i use a modifier 59 on it?
  7. A

    Wiki Questions on AWV documentation

    Our practice is new to doing AWVs and I want to make sure we are documenting all the requirements appropriately. I've been reviewing the CMS document for AWVs: https://www.cms.gov/Outreach-and-Edu..._ICN905706.pdf, and I have a couple of questions. The required elements list ADLs and IADLs...
  8. C

    Wiki Is the Q0 modifier required for OP Medicaid Patient getting an AICD?

    I am curious if the Q0(zero) modifier is required to be added to CPT 33249 for patient undergoing a OP procedure for implantation of an Automatic Implantable Cardiac Defibrillator primary prevention. I know thi sis required for Medicare. I am unsure is this applies to Medicaid. Any help would...
  9. L

    Wiki Coder/Medical biller in Atlanta, Ga

    Neurology group is looking for an experienced Coder/biller. CPC preferred but not required. Neurology coding a plus.
  10. A

    Wiki Billing Endoscopy Codes

    Can CPT code 31276 Rt be billed with 31296 LT. I checked the CCI edits and it indicated that it could but required a modifier. Possibly -50 bililateral. Please advise
  11. L

    Wiki Hematology Oncology Clinic in Baton Rouge hiring for a Medical Coding position

    Looking to hire immediately. Medical Coding specialist needed for high volume medical oncology practice. Medical Coding specialist works to obtain accurate and efficient reimbursement for healthcare claims. Coder is responsible for all codes to meet required legal and insurance rules. Working...
  12. J

    Wiki 99211

    There is a doctors office that is charging a 99211 for renewing prescriptions due to the new Ct laws CPMRS I feel that is inappropriate- even though a physician is not required, a face-to face visit with a practioner needs to happen and documentation Please chime in on this issue Thanks
  13. K

    Wiki Job opportunity- hannibal mo

    Medical Office Coder/Hospital Coder: E/M coding of physician professional services along with exposure to inpatient/outpatient coding. 1 year experience in coding preferred. Requirements: High School Diploma or GED. 1 year experience in health care organization. CPC OR CPC-A certification...
  14. A

    Wiki Looking for coders

    ADVOCATE Radiology Billing & Reimbursement Specialists is an innovative leader in the national radiology reimbursement and management sector of the US healthcare industry. Through our integrated family of solutions, we contribute outstanding technical insight with client-friendly services to...
  15. K

    Wiki 77080 documentation

    When a provider has the Dexa Scan done in their office and they bill without a TC or 26 modifier are they required to have the scan AND interpretation report or is the scan enough documentation?
  16. G

    Wiki Is a modifier required for a shoulder injection when the ICD10 code is lateral?

    I was just informed by an auditor that I was missing the RT modifier attached to the 20610 but I'm not sure if this is right or not. The DX is M75.41 impingement syndrome of right shoulder. If the ICD10 clearly specifies which shoulder, I did not think a modifier was required. Anyone know the...
    • gr8gal61
    • Thread
    • icd10 impingement modifier required shoulder
    • Replies: 4
    • Forum: ICD-10
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