Recent content by jbland

  1. J

    Wiki HELP, Please EEG office billing

    I am in a neurology office. We do routine EEG's. I have a couple of questions. 1. The recording time? Our machine starts recording starting with hook up. Do we include hook up or recording after patient is hooked up? 2. We have a couple of patients that did not get drowsy or go to sleep...
  2. J

    Wiki EEG for awake and alert patient

    I am needing to know same thing.
  3. J

    Wiki OPTUM VA BEHAVIORAL HEALTH CLAIMS

    I am not real familiar with them, but my experience with them is each Dr who is providing care to the patient in the hospital is responsible for getting their own pre-authorization. Substance abuse could be different, but this has been my experience with "regular" hospital stays. I have always...
  4. J

    Wiki Nurse Visit for Self Administered injection

    you can bill that code or we bill 96372 with J3490 (unless the medication has a "J" code) at 0.00 cost and we will put the NDC code in as well. So far, we have not had any that has rejected paying. We have been doing this will all insurances for a couple of years. The patient brings the...
  5. J

    Wiki CPT 95715 EEG

    Good Afternoon! Does anyone bill for CPT 95715 EEG? If so, what is the reimbursement rate for Medicare?
  6. J

    Wiki Aduhelm

    Do any of you work for a physician that prescribes Aduhelm? I have a couple of questions.
  7. J

    Wiki Aduhelm

    Do any of you work for a physician that is prescribing Aduhelm? I have a couple of questions for you.
  8. J

    Wiki E/M follow up during 10 day global

    If you are using the same dx for the follow up visit as you did the botox injection during the global period, insurance will not pay. That has been my experience in the past, migraine can not be mentioned in the notes or dx.
  9. J

    Wiki Nerve Conduction Study

    Yes, and verified if not us that referring is a Medicare referring provider.
  10. J

    Wiki Nerve Conduction Study

    I have a question. Normally when we do Nerve Conduction Studies, we also bill EMG as well. Sometimes, an EMG is not done due to patient refuses or unable to do. In a couple of cases I have billed just the nerve conduction study. It has been denied by Medicare and a couple of insurance...
  11. J

    Wiki Billing 96127 & 99406

    Good Morning! I have previously billed 96127 and 99406 together on same day with E/M, and only 1 was paid. I put 25 modifier on E/M. I also put the appropriate dx on each one. Should these both be paid on the same day as E/M? If they are, what modifier on which? if not, can you point me in...
  12. J

    Wiki Billing 96127 & 96160 together with an E/M

    I usually add 59 modifier to 96160 and we get paid.
  13. J

    Wiki Humana requiring anatomical modifier

    Have you called them? I have seen Humana many times say one thing on the denial and call them and it was denied for another completely different reason. I have not looked at the code, but I have had a few things deny for something completely different when I called them. Yes, I know, I do not...
  14. J

    Wiki Workers Comp

    I have a question regarding workers comp. I am in Georgia and this is a Georgia claim. We are seeing a new patient today. The adjuster has sent a list of questions he/she would like the provider to answer? They are questions require more detail than an office visit. I am not sure why they...
  15. J

    Wiki Medical Billing Software for small practice

    I will say MicroMD by Henry Schein, stay away. Whoever writes this software has NEVER worked in a medical office.
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