Recent content by AHearley

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    Wiki BREAST BIOPSY BILLING

    THANKS IN ADVANCE FOR ANY INFORMATION ON THIS TOPIC!! CAN ANYONE TELL ME HOW THE FACILITY IS BILLING FOR A BREAST BIOPSY DONE AT ASC FOR FACILITY CHARGES ONLY? MY RADIOLOGIST DID THE BIOPSY SO I AM CODING 19083, IS THERE A HCPCS CODE THAT WOULD COVER FOR FACILITY CHARGE?
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    Wiki DRG BILLING QUESTIONS FOR NON DRG BILLER/CODER

    I AM LOOKING FOR SOMEONE WHO CAN EXPLAIN TO ME HOW BILLING UNDER A FACILITY DRG WORKS? I AM A CPC FOR AN INDEPENDENT RADIOLOGY PRACTICE AND WE ARE HAVING A FEW ISSUES WHERE OUR CLAIMS ARE BEING DENIED BECAUSE THE FACILITY BILLED FOR THEM. SO I AM IN NEED OF A BETTER UNDERSTADING OF HOW THIS...
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    Wiki BILLING WITH 26 AND TC MODIFIERS

    We are an independent radiology practice that is contracted to read all imaging services and provide services at our local hospital and clinics, Recently some of our claims are being denied because we are billing for the service such as 19085 because our radiologist is performing the service...
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    Wiki multiple xray billing

    SAME HERE, ALWAYS GET DENIED NO MATER WHAT MODIFIER IS BEING USED. AAPC MEDICARE IS GREAT FOR DENYING THESE ALL THE TIME. ANY ADVICE FROM ANYONE WHO IS GETTING PAID ON THESE?
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    Wiki FY 2023 ICD-10-CM guidelines

    That would be awesome!! amyh@radiologychartered.com Thank You
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    Wiki info for box 31 on hcfa claim for from facility

    I would agree that the insurance is incorrect. They keep stating that the coders should know this is an ncci edit????? And my radiology group is independent and we bill all our charges with modifier 26 when appropriate of course. under our own tax id on a hcfa 1500. So the clinic is also...
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    Wiki info for box 31 on hcfa claim for from facility

    Is it appropriate for the facility billing CPT codes with modifier TC to be putting the radiologists name in box 31 on their HCFA? He is in an independent practice but is contracted to read all of the images for the facility/hospital. His practice bills all services with modifier 26. Insurance...
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    Wiki NEW G CODES FOR RADIOLOGY SERVICES 2020

    Is there anyone that bills for the professional component only of radiology services? if so are you adding the g1000 series codes to your charges for high dollar imaging services for 2020. From what i have read it seems that these are for the referring md and the facility? Any info would be...
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    Wiki -GG Mod with Medicare Mammograms

    WE ARE SEEING OUR CLAIMS WITH BOTH THE SCREENING MAMMOGRAM AND TOMO AND DIAGNOSTIC MAMMO AND DIAGNOSTIC TOMO BUT ONE IS BEING DENIED USUALLY THE DIAGNOSTIC TOMO. EVEN THOUGH WE ARE USING BOTH THE 59 AND GG MODIFIERS. ANY ADVISE? FROM WHAT I HAVE READ THIS IS THE INSTRUCTION TO ADD THESE...
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    Wiki New hip codes for 2016 and ncci edits

    Does anyone have any good info on the new hip codes that make it clear as to how to bill these and also where i can find the most up to date ncci policies on them. We have been holding our ip claims for pre and post implant because they were all denying but wondering if anyone heard anything as...
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