Recent content by Aimee Ramadan

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    Wiki DOS for split billing of Cardiac Monitoring/Pacemaker Checks-- 2024 Changes 93297/93298

    I am hoping other facilities can share how they are billing 93297-93298 after the deletion of G2066 in 2024. Split billing 26/TC modifiers, or global and with which DOS? The day provider signs (for professional component) and Technical portion (TC) on the last day of monitoring, or both...
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    Wiki Telehealth Billing rules for Champus

    Does anyone have any information from Champus regarding Telehealth billing? Are they following CMS guidelines as far as qualifying CPT codes, POS, and Modifier requirements? Example, billing 99213/ POS 02/ no modifier.
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    Wiki Excludes 1 Denials Z01.419/Z30.41

    We currently have a diagnosis edit tool that is flagging GYN preventative visits billed with DX Z01.419 and Z30.41 as having an excludes 1 relationship. We're also receiving denials from some commercial plans for this same reason. ICD-10 lists Z01.4 as excludes 2 with Z30.4 , meaning they...
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    Wiki Modifier 22

    thank you, that gives me a general idea of how to construct my letters.
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    Wiki Modifier 22

    Does anyone have a basic letter that they could share to send with charges billed with -22 modifier? Thank you :)
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    Wiki Oncology billing CPT 77014

    Hello, I am new to Oncology billing. We are getting denials for cpt 77014 stating can not be billed if 77301 has been billed within previous 60 days. Specifically Aetna, but other commercial policies as well. Looking for any suggestions on billing of 77014? Thank you!
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    Wiki BCBS Denial of 99213-25 with 98940/98941

    I am New to Chiropractic billing and the provider is receiving denials for his established E/M visits when billed with a 98941-98942. New patient visits are paid with no issues, correct -25 modifier is being used, separate and billable diagnosis are used. Any suggestions? Thank you for any help!
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