Recent content by schanderson

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    Wiki G2211

    Medicare has been paying and some advantage plans but most do not.
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    Wiki LCD Medicare States it is a NONPAYABLE Shock-Wave Therapy

    Good day all, My office is a Neurology and Pain Management specialty and the physician had me look into Shock-Wave therapy which is the CPT Code 0101T. According to the LCD from Medicare it is deemed experimental and not payable. However, some representative for the company my physician spoke...
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    Wiki Ambulatory Surgical Center what is the fee for physician?

    I feel so dum,b right now, but it makes total sense my brain was trying to make it harder then what it actually is. Thanks for responding to an obvious answer that was elusive to me.;)
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    Wiki Ambulatory Surgical Center what is the fee for physician?

    Good day all, I do not know where to locate where the physician would be paid for services rendered in an ambulatory surgical center? The way I understand it is the Medicare Physician Fee Schedule for facility aka hospital has the the hashtag symbol and that is for hospital would it also mean...
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    Wiki IPPS Payment System is what?

    Thank you for your help.
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    Wiki IPPS Payment System is what?

    Good day all, I am in the process of gathering intel for my physician who is wanting to understand what is payable for the procedures he does in a hospital setting and from what I am aware of it would be in the IPPS payment system. I have tried to look for it on the CMS site and found an odd...
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    Wiki Occipital Nerve Block J-codes

    Kenalog is J3301 Bupivacaine is tricky because most do not pay for it, but if its a .25% strength its the J34900013 an if its the .5% strength it is J0665. I have never billed for the saline, but hope these codes help at least.
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    Wiki EMG and Needles

    Good day, I am so frustrated and have looked on this site and the so called American Academy of Neurology for the answer and I am just not seeing it at all. The patient has G56.02 and we just tested the one arm and it was 5 muscles, hence the 95909. However, I get the response from the...
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    Wiki Modifier 24

    My physician performed an ablation on the patient and it just so happened that the patient got sick and was admitted to the hospital. He saw the patient for neurological issues not pain in the back. Was told to appeal, which i did and was told that I should have applied the modifier 24 on the...
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    Wiki Moderate Sedation in Pain Management Payable?

    I see it now thank you for pointing me in that direction.
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    Wiki Moderate Sedation in Pain Management Payable?

    Good day, I now have another physician at my office that does anesthesia on the patients and performs the service. My understanding is that I bill out the claim with the modifier 47 on the moderate sedation code, which our office is using the 99152 for the patient. I have tried to research...
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    Wiki BCN Medadvantage Maddness

    Good day everyone, According to BCN Medicare Advantage plan procedures 64493-64494 and 64635-64636 are nonpayable as they are deemed questionable nature procedure based off the Hospital Outptatient Prospective Payment System. This makes no sense to me since we are just an office and are not an...
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    Wiki Fee Schedule for BCBS

    Thank you this worked for me!
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    Wiki Fee Schedule for BCBS

    I have gone the way that you state but it only shows max fee schedule no fee schedule for BCBSM
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    Wiki Fee Schedule for BCBS

    My office told me they do not have a provider repersentative.
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