Recent content by khartoum1900nile@aol.com

  1. K

    Wiki What would you say to someone considering becoming a medical coder?

    I lucked out at getting my first coding job back in 2007. The thing is, I applied for front desk and during the interview, the office manager noticed my CPC-A. So, she decided to hire me as a Coder (I only worked 21 hours a week and got paid minimum wage) with no experience. I lasted over a...
  2. K

    Wiki DME Billing

    I work for a DME company. The providers send us the orders to set up the patients and we bill for the supplies under the ordering provider's NPI.
  3. K

    Wiki Should I take another certification?

    Try applying with your Health Department. You never know where that might lead. As for AAPC, every time you call, note the date and the time and who you speak with. I have learned to do that and if you haven't already, get forceful with who you are talking with when appropriate. I don't know...
  4. K

    Wiki Who usually does medical coding/billing for a Health Dept?

    I have both CPC and CPB certificates. I briefly worked for my Health Department as an ASA II. The position was scheduling and registering patients. I then got pulled in to do the Billing, which mostly was for Family Planning. We did get paid for STD Services, but only if they drew blood for...
  5. K

    Wiki Medicare is not paying for A7045

    Medicare keeps denying A7045: Exhalation port with or without swivel used with accessories for positive airway devices, replacement only. I have tried the following modifiers: NUKX and just NU and then no modifier. I looked up the following LCDs: L33718 and L33800. They offer no guidance on...
  6. K

    Wiki Hospice Coding for a Vent Patient

    I work at a DME company and have a vent patient in Hospice. The Hospice company is not paying for the Vent with the Diagnosis of G12.21. I was told by the Hospice company that ALS is not covered diagnosis code by Hospice. I was told that the claim needs to be refiled with a Modifier not...
  7. K

    Wiki BCBS Denying for Family Planning Office Visits at Health Department

    Thank you for your help and very insightful information on this matter.
  8. K

    Wiki BCBS Denying for Family Planning Office Visits at Health Department

    I see the BCBS Remits and it just says Maximum allowed benefits has been reached and no further explanation on the Remit or on BCBS website.
  9. K

    Wiki BCBS Denying for Family Planning Office Visits at Health Department

    Procedure code is usually a 99213 or 99214 and the Diagnosis code is Z30.9 for the most part. I don't see the actual claims being entered, I just follow-up after they have bee either paid or denied by the Insurance.
  10. K

    Wiki BCBS Denying for Family Planning Office Visits at Health Department

    I work at a Health Department as a part-time biller. Recently, BCBS started denying several patients visits due to the Max benefit being reached. BCBS did pay for the annual and maybe one follow-up visit, but started denying the visits after those two. Patients come here for their Depo shot 4...
  11. K

    Wiki Viva Health Claim Denial

    Never had a chance to get this corrected.
  12. K

    Wiki Altering Paper Medical Orders??

    Thank you for your guidance with this matter.
  13. K

    Wiki Altering Paper Medical Orders??

    Is it okay to alter paper medical orders for a DME company? My billing supervisor erased something that the doctor wrote on the order and replaced it with something else before the paperwork was submitted to Medicaid. I just don't know what is right and wrong in this situation. Another thing...
  14. K

    Wiki Hypothetical Question Concerning a Signature Date on a Medical Order

    Thank you. As for the order in question, it's a paper order.
  15. K

    Wiki Hypothetical Question Concerning a Signature Date on a Medical Order

    I submitted a Medicare Redetermination, and it was denied because the signature date on the Oxygen CMN was outside of the allowed 30 days after the face-to-face visit. Then all of a sudden, the signature date was changed from September to July to meet the 30-day signature date requirement for...
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