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Latest activity
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THi, Can you advise how i should bill J3301 for 24 units ? I received denials from BCBS when billing J3301x24 .Denial-Exceeds the contracted maximum number of hours/days/units by this provider for this period. This is not patient specific. Usage...
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Nny2scgirl replied to the thread Suprapubic Catheter ICD 10 Code.Did you ever get an answer? I use Z96.0 but I am not sure if there is a better choice.
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rthomas@impcna.com replied to the thread 99464 and 99465 with admit to NICU.I am not in Texas but with Mississippi Medicaid we do not need to use 25 modifier on either of those codes. -
NNRaizman replied to the thread Level 3 or 4??.Level 3. That is basic and clear from the CPT E&M chart. There is no allowance for multiple uncomplicated illnesses to bump you up a level.
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NNRaizman replied to the thread Preop visit.So, yeah, you have hit the nail on the head. These visit, particularly with non-CMS payors, are increasingly being considered part of the global and non-reimbursable, which is absurd, given that they are meaningful E&M work. One strategy is to...
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Aakhoondasad17@gmail.com replied to the thread Looking for a medical coding job.
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jkyles replied to the thread new 2027 ob guidelines.Be ready by Sept 1, according to ACOG. They also plan to do state-level in-person training according to ACOG's vice chair of the committee on health economics and coding (John Horton, MD), but my understanding it that will be restricted to ACOG... -
Nnikibishop37@gmail.com reacted to rthomas@impcna.com's post in the thread Modifier XS or 59 on G0444 with
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We use the XU modifier on G0444 for Medicare and Medicare Advantage plans. We have never had a problem with reimbursement or rejections. If you use EPIC you could have logic created in charge review to have a warning say possible modifier XU... -
Llaceystepp@yahoo.com posted the thread HELP-Billing TC and PC on in office radiology procedures. in Billing/Reimbursement.I am extremely new to billing and coding. I work in a family practice where we own our own x-ray machine and our in house MD reads the films. Can I bill the technical and professional component separately, or are they supposed to be billed...
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CcamtjAAPC replied to the thread new 2027 ob guidelines.ACOG has a free support portal for coders/billers where you can read articles and post questions. They usually answer within a few days. https://acogcoding.freshdesk.com/support/home
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rthomas@impcna.com replied to the thread Modifier XS or 59 on G0444.We use the XU modifier on G0444 for Medicare and Medicare Advantage plans. We have never had a problem with reimbursement or rejections. If you use EPIC you could have logic created in charge review to have a warning say possible modifier XU...
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HHeatherCorum replied to the thread infusions same day as office visit.Hey there! We do add the .25 mod to the office visit when we bill out the drug and admin codes for IV infusions in our office. We have noticed some insurances will not pay if a pt has both on the claim so for those pts we started doing as...
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CChuckrys posted the thread OPPS Denial – F74, F88, and P60 Revenue Code/HCPCS Issues on Outpatient Rebill in Billing/Reimbursement.Hello everyone, I’m working on an outpatient hospital claim (TOB 137) that was downgraded from an inpatient claim and is now denying under OPPS editing for a United Healthcare Community Plan Medicare Dual SNP in New York. The claim is returning...
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S2 or more acute, uncomplicated illness or injury with prescription drug management. Level 3 or 4??
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Vvnorman replied to the thread I love to clean up old claims.Part-Time Medical Biller ANO Revenue Cycle Management is a small RCM company located in Florida that has been in business for five years. We are currently looking for a part-time medical biller, that may lead to full-time. Would prefer someone...
