Recent content by CFINDLING

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    Wiki Modifier 25 Use

    Thanks. I guess only the short sentence at the beginning helps when it mentions being able to effectively respond to payment-policy requirements established by other entities. Because I understand the use of Modifier 25 with another procedure and/or EM service, but my problem is when they...
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    Wiki Modifier 25 Use

    Thank you! This was my thinking as well that we need to get written policies from these payers that say it is their requirement per policy. I do understand their frustration, because it is frustrating to me when they bring me these types of things and I know that a 25 should not be required and...
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    Wiki How to bill for injection w/ office visit

    Debra-I do not work in our billing office nor do I code on a daily basis, I work in our EHR software administration and have been brought into discussions to see if the system could assist the billing office with various issues they have with payers/denials. One of the big ones is office visits...
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    Wiki Modifier 25 Use

    I work in our software system administration, I am not a daily coder, nor am I a biller...I have recently been brought into discussions about ways to make the billing process easier in our software system but I am concerned with what I am being told by the billing staff...they are telling me...
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    Wiki Assistant at Surgery

    Thanks, that is where I originally found the information and provided it to the providers was from our local contractor.
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    Wiki Assistant at Surgery

    I have been having a discussion with my OBGyn providers about the documentation required for Assistant at surgery (Modifier 80). I have been telling them, based on what I have found and read in various articles, that they need to include documentation of why an assistant was needed and what the...
    • CFINDLING
    • Thread
    • assistant assistant surgeon
    • Replies: 4
    • Forum: OB/GYN
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    Wiki Billing for Inpatient Visits as a Covering Physician

    Our OBGyn physicians are recently being asked to cover for one of the other OB Gyn physicians in town, what is happening is the physician will deliver the patient and then leave town asking our physicians to cover. Then our physicians are going to the hospital to see these patients, but the...
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    Wiki Billing a non covered service to secondary payer

    Medicare will pay for an Annual Wellness Visit, yes. Those are paid at 100% with no co insurance due by the patient or a secondary payer. But that is different than a preventive exam (9938x or 9939x) which is what I am specifically asking about. A preventive annual exam is statutorily non...
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    Wiki Billing a non covered service to secondary payer

    If a patient has Medicare and Medicaid, can a preventive exam (9938x-9939x) be performed and billed to Medicaid without billing to Medicare first since it is a non covered service by Medicare?
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    Wiki Diabetes

    We were doing some ICD 10 training/discussion with our providers and they were asking what they do when they have a Diabetic patient that has retinopathy, neurological complications and circulatory complications. Do they code E11.321, E11.40, and E11.51?
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    Wiki IUD Removal and Re-Insertion

    If a provider removes an IUD and at the same visit Inserts a new IUD, can both the 58300 and 58301 be billed? :)
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