Recent content by midnight1995

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    Wiki Surgery with Co-surgeons and Assistant

    Thank you so much
  2. M

    Wiki Surgery with Co-surgeons and Assistant

    If anyone has any documentation regarding the following: Two co-surgeons different specialist and Assistant as well. Does anyone know if you can also bill for the Assistant claim as well, as there are two separate claims for the Co-surgeon. thank you
  3. M

    Wiki Orthopedic Surgery Coding Help

    I have attached an Operative Note - What the provider coding and billed: 29827, 29828 and 29823. Any help is greatly appreciated.
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    Wiki 99214 and G0439

    Medicare (All Jurisdiction) Posted on the websites for Smart Edits: If you review your Medicare Jurisdiction it provides the Smart edit pattern number and the next steps. 1.) Novitas (Texas) https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00275505 a.) In the...
  5. M

    Wiki New vs. Est

    The patient is considered established to all the physicians in the new practice who are of the same specialty and subspecialty. A change in tax id or physical location doesn't change that the patient is established Noridian Jurisdiction F (Medicare Part B) New Patient vs Established Patient New...
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    Wiki CPT 99483 AND G0439

    Per the NCCI guidelines Code G0439 is a column 2 code for 99483, but you may use a NCCI-associated modifier to override the edit under appropriate circumstances. Modifier 25. You can also refer to your MAC Carrier for Medicare (not sure what state) Billing and Coding: Cognitive Assessment and...
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    Wiki VACCINES FOR CHILDREN and ADMINISTRATION CODES

    The State of TN has 3 Medicaid MCO plans: If this is for ESPDT/VFC billing each Insurance has the billing guidelines as well as Medicaid of TN. 1.) Medicaid/TennCare a.) VFC billing: https://www.tn.gov/health/cedep/immunization-program/ip/vfc/vfc-provider-guidance.html b.) Vaccines CPT bill with...
  8. M

    Wiki 20610 when done on two separate sites

    If someone can give insight this is mainly with Medicare: 20610 is done on knee and shoulder 1.) Billing 20610 two separate lines with RT or LT with the ICD based on the knee/shoulder a.) the second 20610 was billed with modifier XS b.) Medicare is denying invalid modifier - than changed...
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    Wiki Aetna denying the New E/M 2023 changes CPT and POS

    99232 POS 22
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    Wiki Aetna denying the New E/M 2023 changes CPT and POS

    CPT and POS invalid
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    Wiki Aetna denying the New E/M 2023 changes CPT and POS

    Hi everyone I am trying to find out if anyone else is having the same issue regarding Aetna (all Plans) denying the New E/M changes:
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    Wiki Home or Residence Services with POS 13 for Assisted Living

    Thank you - I have advise my billing the same
  13. M

    Wiki Home or Residence Services with POS 13 for Assisted Living

    Is any one also have the same issue with Aetna
  14. M

    Wiki Maintaining EOBs, Appeals etc

    Need some help or guidance or recommendation on how long EOBs, Appeals or any documents pertaining to a Claim need to be held/save
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    Wiki Help with coding, modifier 22 and Unlisted procedure

    I would appreciate any help with the attached Op note: the following is what the provider is actually coding; Provider Correct billing 50715: 50 modifier 58558 52000...
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