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Latest activity
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HHeatherCorum replied to the thread Kenalog Injections.When the claim originally went out the biller entered just 1 unit and we got the same denial. Then when I went back to look to see what they billed the second time they changed it to 16 units. I read the dictation from the provider and the...
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Rrmness reacted to jodielonkoski's post in the thread Post operative nerve block with regional Anesthesia with
Like.
You are interpreting that correctly, you can bill the post op pain block with spinal as long as it is designated as being for post op pain, the surgeon requests the anesthesiologist perform the block, and as you said the main anesthetic is not... -
Pam Warren replied to the thread Kenalog Injections.16 units of J3301 would be 160 mg of Kenalog (on each side). That's a lot. Are you calculating this by mg of Kenalog, or ml or cc (volume of injection)? The error message suggests that this is not a medically necessary dosage.... too much. -
Pam Warren replied to the thread Healthcon.Besides Location, they are quite similar. Generally, HealthCon National draws a larger audience, and there is usually a bigger agenda and more after-conference events. AAPC started offering regionals when it became clear that some individuals...
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Kkboissoneau@hffcc.org posted the thread FQHC Billing of 99214 + 90833 Telehealth? in Behavioral Health.Hello! We have a psych NP in a FQHC that occasionally bills 99214 and 90833 together for telehealth visits. We keep getting denials because instead of the typical: G0467 99214 90833 our EMR is sending it out: G2025,95 90833,95 By suppressing...
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Pprasannabanala replied to the thread ICD-10 CM coding guidelines "Sore throat".In the above snippet shared, the patient comes in with a chief complaint of Sore throat and Headache. ED course and medical decision making Based on her history and exam at the time of presentation, the differential diagnosis includes, but is...
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Pprasannabanala posted the thread ICD-10 CM coding guidelines "Sore throat" in Medical Coding General Discussion.
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CI have noticed that many offices are still struggling with Athenahealth. Please feel free to reach out to me for help. I have over ten years of experience dealing with the major issues, especially in the mental health specialty. e...
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Ccindyzam2001@yahoo.com replied to the thread Question on referral end dates.Hello,
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Ccindyzam2001@yahoo.com replied to the thread BCBS denying add on codes for psychiatry.Hello, BCBS pays for telehealth services when appending the 95 modifier. Ex: 99213, 95 90833,95 Feel free to contact me at PacificCoastlineMedBilling@gmail.com Cindy
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Ccindyzam2001@yahoo.com replied to the thread Secondary billing to ASH.Hello, If you are In Network with both Primary and Secondary Insurance and have accepted the Assignment of Benefits(AOB), then you must allow the Secondary insurance to make the ultimate decision of what the patient's responsibility is. You may...
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Ccindyzam2001@yahoo.com replied to the thread Birthday rule.Hello, the birthday rule is based on the parent's birthday "Month and Day, not the year. Ex: Mom's bday is 02/15/1980, and Dad's bday is 2/14/1980, then Dad's (14 comes before 15) insurance is primary, unless there is something written in a...
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EmilyMontemayor replied to the thread Understanding Excludes 1 and Excludes 2 in ICD-10.Per ICD-10-CM coding Instructions: "An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a... -
Aarbucklej replied to the thread Viability Ultrasound and AMA.I have a question related to AMA so I am going to ask it in this thread since it is related. Do you have to code high risk for women 35+ always even if the doctor doesn't state the pregnancy is high risk? Or should the age not matter and high...
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Mmindycorbett93 replied to the thread Helppp!!! Denial for missing modifier for CPT code 37236.Aetna and Cigna's automated pre-screening has been active since January and is hitting modifier-heavy claim types hard. For CPT 37236 specifically, the issue is almost always the modifier stacking pattern triggering an automated edit, not a...
