-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
mrsrobinson525's latest activity
-
Mmrsrobinson525 replied to the thread Wiki Can you change a lab diagnosis after getting a denial?.I'm being directed to send the approved dx list to see if a code can be added that hasn't already been billed, but would be supported by the documentation. My question is: can a code be added for example 8 months after the claim was submitted? I...
-
Mmrsrobinson525 reacted to sls314's post in the thread Wiki Can you change a lab diagnosis after getting a denial? with
Like.
Oh my. The first one is reasonable. If another diagnosis is documented in the chart note, it can be used to bill. That's the key - if it is already appropriately documented and just didn't make it onto the claim for whatever reason. The last... -
Mmrsrobinson525 reacted to andersona1229's post in the thread Wiki Can you change a lab diagnosis after getting a denial? with Like.
Yes, my bad there. Still a good thing to know anyway. The only time I asked after a denial is if they sent me a ton of SDOH codes and I have to go "Umm...anything else you got there that is an actual illness or symptom?" ETA: We do try to catch...
-
Mmrsrobinson525 reacted to sls314's post in the thread Wiki Can you change a lab diagnosis after getting a denial? with Like.
Using a list as an educational tool for future claims is fine. However, in her original post, it sounds like she's being told to send a list of covered diagnoses to the provider so they can pick something to rectify an already denied claim...
-
Mmrsrobinson525 reacted to andersona1229's post in the thread Wiki Can you change a lab diagnosis after getting a denial? with Like.
I've been doing lab billing for a while now and providing the approved diagnosis list is something that we do frequently. It's an education tool more than anything to let providers know that "Hey, we know you're doing the test for X, Y, or Z, but...
-
Mmrsrobinson525 replied to the thread Wiki Can medical coders make addendums?.Thank you so much! I appreciate all the references!
-
Mmrsrobinson525 reacted to amyjph's post in the thread Wiki Can medical coders make addendums? with Like.
I think we would need to know what you mean, specifically, when you state, "make chart addendums/late entries". Are you talking about actual medical record documentation or are you talking about the work of a coder where you would correct/update...
-
Mmrsrobinson525 posted the thread Wiki Can you change a lab diagnosis after getting a denial? in Billing/Reimbursement.I'm a newer coder and I work for a smaller private practice. I normally review charges, but recently I've been asked to help with denials. Our providers code their own charts and we have a lot of lab denials. I'm hoping someone can give me some...
-
Mmrsrobinson525 posted the thread Wiki Can medical coders make addendums? in Medical Coding General Discussion.I work in a practice where providers code their own charts and I review them before processing. Some of the providers feel I should make chart addendums/late entries on their behalf. I don't think I can do this because I'm not a clinical staff...
-
MOur practice has recently done an update with Veradigm. The Veradigm rep told us that there is no longer a 12 diagnosis per claim limit. Has anyone else had experience with this? She said the insurance only counts the first 4 diagnosis codes on...