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Latest activity
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Ddeepshikha replied to the thread Office visit/ultrasound denial.I have similar issue billing 99214 + 76380 with 25 or TC modifiers only Cigna for OB claim. They are saying "Payment is denied when performed/billed by this type of provider in this type of facility" . Wondering any one else facing similar...
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Are there any Endocrinology Coders out there? I am looking for some guidance on CPT 95249-95251 -
JHi Not sure if you got a detailed answer to your infusion. I have coding Oncology office and outpatient clinic including infusion center for about 12 years. Based on the documentation in the treatment cycle above the coding would be as...
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Jjthostler@gmail.com reacted to rachaelwilleford's post in the thread chemo administration with
Like.
Top 4 are chemo/complex drugs. Pepcid on down are supportive (therapeutic). First, I'd list this out by time. It makes it easier to read and code. Second, are you in office or a facility? Use the guidelines and code descriptors to guide you... -
Jjthostler@gmail.com reacted to sls314's post in the thread CERTIFIED HEMATOLOGY AND ONCOLOGY CODER CERTIFICATION exam with Like.
The specialty certification courses aren’t designed to teach coding from scratch. They’re built on the assumption that the candidate already has a solid foundation in general coding and also coding experience in the specialty. That’s why the...
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Jjthostler@gmail.com reacted to rachaelwilleford's post in the thread G0498, 96416 for Medicare with Like.
MLN Matters - SE1609 April 2017 OPPS Update CR9749 details out the descriptor. If you notice, the code includes the follow up and the pump, which 96416 does not. WPS LCD 37205 - Current, references 9749. There's also an older Medicare...
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JIf the adult has their own insurance from their coverage that is always primary. the parents insurance or spouses insurance would always be secondary to that. The birthday rule is when two parents are covering a child.
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JHello, 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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SI Would like feedback on UHC policy change Effective for DOS’s on or after 4-01-26. UHC policy states when MD performs a review rather than the full written interpretation and report, the reimbursement for the PC is considered included in the E&M...
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SI Would like feedback on UHC policy change Effective for DOS’s on or after 4-01-26. UHC policy states when MD performs a review rather than the full written interpretation and report, the reimbursement for the PC is considered included in the E&M...
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CHello, experiencing a couple of denials from a specific payer. Can the payment for 67028 be bundled with the J-code/medication? They're denying 67028 and insisting that payment is already included in the J-code. We've never had this issue before...
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Bbdcarswell95@gmail.com posted the thread CPC-A Opportunities in North Alabama? in Employment General Discussion.Just passed my cert test and I'm location in Cullman, but willing to travel from Birmingham to Huntsville area. Please let me know if you are aware of any facilities that are willing to take on Apprentices. Thanks!
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pookergirl replied to the thread Ultrasound interpretations.I found this searching online: Written Interpretation & Report A final formal written report must be included in the chart. A sonographer’s worksheet or a brief "ultrasound performed" note is not sufficient. The report must detail: [1, 2, 3, 4... -
pookergirl replied to the thread 📢 We’re Hiring Experienced Coders – Join Optum SIU!.I have a colleague interested in getting into SIU and she'd be excellent. However, she can't find a position that will pay even close to what she currently makes (80K) - would you provide a salary or hourly range for your SIU positions?
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pookergirl replied to the thread Does EKG/ECG need to be signed?.Yes, if the provider is billing for the professional component (interpretation and report) of the EKG. Medicare and commercial payers require a separate, signed, written, and retrievable interpretation report in the medical record. A vague note...
