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Thweatt84's latest activity

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Thweatt84 replied to the thread Wiki I had a recent denial for 96413 and documentation of direct supervision..

Thank you for your reply, the individual infusion part is not signed by the physician - they are to do a final sign-off of the medical record. This was the first time we have had this ourselves - I have been doing payor audit appeals for the...

Apr 3, 2024
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Thweatt84 posted the thread Wiki Is Dialysate solution separately billable for hospital billing? in Auditing General Discussion.

I understand for the Dialysis Clinics - the Dialysate solutions are part of the Dialysis procedure charge and not separately billable -- is that the same when the hospital provides the Dialysate solutions for the dialysis procedure performed on...

Mar 20, 2024
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Thweatt84 replied to the thread Wiki JW Medication waste billing.

If you find one, I am interested. With NDC billing on the claim needs to match documentation, there isn't a way to correct the claim as some third party auditing companies would like. When I review these from an appeal standpoint, I check for...

Mar 20, 2024
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Thweatt84 posted the thread Wiki I had a recent denial for 96413 and documentation of direct supervision. in Auditing General Discussion.

Hello, Just had a recent denial for 96413 as no documentation of direct supervision was noted by the provider or in the medical records -- what are they looking for? The MD reviewed AM labs, adjusted the medications to be given - what is...

Mar 20, 2024

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