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  • D
    Diana_Mitchell89@yahoo.com posted the thread Risk Adjustment / HCC in Resume Postings.
    Hi all ! I have several years of experience in risk adjustment including internal QA auditing , with the last 5 years focusing on ACA claims. I can also work with Medicare risk adjustment. I am currently exploring new opportunities in risk...
  • T
    threeroll replied to the thread Nasal surgery.
    I add modifier 59 to 21235. 30520 STATES Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft. The graft is for 30465 or it is included.
  • V
    vnorman replied to the thread Medical billing for individual provider.
    Are they potentially interested in hiring a Medical Billing Company? www.ano-rcm.com
  • C
    cyalden replied to the thread HCPC time unit requirements (example G0447).
    I am still wondering the same question 3 years later!
  • J
    jabuettgenbach posted the thread PCS supplement code question in hernias in General Discussion.
    My facility codes PCS codes for outpatient surgeries. Is it appropriate to use 0YU0JZ I have been told that it can be used as the supplement code for repair of an incarcerated hernia repair with mesh without separately coding the supplement...
  • R
    Ree923 reacted to SPierce75's post in the thread Specialty Credential for Behavioral Health with Like Like.
    Hello! I have written a letter to AAPC requesting they consider adding a specialty specific credential for Behavioral Health. I wrote one last year also and submitted a second one today hoping they'll consider. If this is something you'd also be...
  • jkyles
    jkyles reacted to amyjph's post in the thread Modifiers with Like Like.
    These CPT require LT, RT or 50. I would refer to this as basic coding knowledge. It is not UHC being "weird or strange". It is basic coding. https://www.cms.gov/medicare/physician-fee-schedule/search https://www.cms.gov/help/status-indicators...
  • M
    MorganDodson34 replied to the thread Billing for patients without a referral.
    It depends on the insurance company/patient's policy/provider contract. I always call and ask if the denial is billable to patient. I have some that you can and some that you can't.
  • A
    arbucklej posted the thread Supervision of high risk pregnancy code rage O09- in OB/GYN.
    Hi, looking for coding advice from an old case: 31-year-old patient here for prenatal visit who brought her baby with her today. The patients last menstrual period was 2/22/2024. She is sure of the dates and states she cycles every 35 days. Her...
  • 1
    19bowers78 replied to the thread Modifiers.
    Pulled from an online search, take it with a grain of salt. United has been asking for strange modifiers for all sorts of things lately. RT or LT: Append RT (right side) or LT (left side) for unilateral injections to designate the precise...
  • L
    LJohnson2 reacted to TThivierge's post in the thread ICD-10 for pathology cases that fail to yield a definitive diagnosis with Like Like.
    Hi All I bill lab and x-ray ALL the time plus past job experience. Lab companies really hate unspecified dx codes but they do accept them. Also only use Z dx codes if they are considered FIRST listed Z dx codes as last resort. The lab companies...
  • E
    elizabethadams28@yahoo.com replied to the thread 64772 with 49505.
    Good afternoon, Just following up to see if anyone has anyone has any guidelines to offer for the above case. Thank you!
  • 1
    19bowers78 replied to the thread Claims priced by Data Isight and how to file appeals with State Commissioner of NJ.
    I would assume they mean the Insurance commissioner's office? https://www.nj.gov/dobi/consumer.htm#insurance
  • 1
    19bowers78 posted the thread Aetna denials - recent in Billing/Reimbursement.
    Is anyone else experiencing an insane amount of denials and other weird stuff from Aetna and Aetna MedAdvantage plans? For example, they started off downcoding many of our E&M codes. Then started denying anything billed with testing (99213 +...
  • C
    calfedmisdt posted the thread Medical billing for individual provider in Job Postings.
    I have a provider that is needing medical billing for an individual provider. Does anyone know of one in the Georgetown, Tx area?
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