Recent content by ehlberg7575

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    Wiki Current Prevnar 20 Denials??

    Best to check the medical policies for the insurance plans. We waited till I was able to confirm per the policy that is was covered for the pediatric population. Aetna updated their policy 10/14/23, and UHC was updated I think a week or so before that. CIGNA was not an issue. If you pull the...
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    Wiki Interprofessional Consults for eating disorders in teens

    Hello, Pediatric office with providers that see a lot of teenage girls for weight managements for eating disorder / anorexia. Often times the provider has to be included on care management calls for their opinion and/or the pediatrician is requesting this call. The call or zoom encounter can...
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    Wiki Billing for Covid 19 on 5-11 years old (91307) and admin (0071A and 0072B)

    I would check their policies. Those are the appropriate codes based on CMS and AMA guidance. Perhaps they not have loaded them in their system yet. We have successfully been getting paid in NYS for billing these codes.
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