Recent content by vnorman

  1. V

    Wiki CCM

    Thank you Lady T, All of this should be documented in a note or a care plan, correct?
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    Wiki CCM

    Hello, I have an NP that wants to start billing for CCM services. We want to make sure we document everything correctly. It is my understanding this is not a typical office note, so what is the best way to document the services related to the CCM services? Are you able to help me? Thank you...
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    Wiki CCM Medicare reimbursement update for RHC

    Hi, I was wondering if you might have any information on the required documentation needed to bill for CCM? I have a new NP that treats home bound patients along with patients in assisted living and group homes and he wanted to start billing for CCM. We just want to make sure we have all the...
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    Wiki Chronic Care Management - CCM Billing

    Hello! I am working with a NP in NJ that treats patients in assisted living, group home and home bound patients. He wants to start billing for Chronic Care Management but we are not exactly sure how that has to be documented in a note. Does anyone have any information on CCM documentation...
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    Wiki G0447 POS

    Hello! :) I just took over the billing from an outsourced billing company and have discovered several claims that were denied (Medicare) for G0447 and the place of service. The service was rendered to patients in an assisted living facility and some in their private homes. I have not seen...
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    Wiki Pap Smear without full GYN Well Women Exam

    Thank you all for the information, I thought maybe I was doing something wrong.
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    Wiki Correct coding for annual exam with Pap and pelvic by a family medicine physician

    Our office is having an issue with reimbursement for Q0091. I thought DX code Z12.4 was a medically necessary code but it continues to get denied stating it is inclusive of another service. I have added the -25 to the Wellness Visit or E&M but I still have not luck. Any advise?
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    Wiki Pap Smear without full GYN Well Women Exam

    Our office is having an issue with reimbursement for Q0091. I thought DX code Z12.4 was a medically necessary code but it continues to get denied stating it is inclusive of another service. I have added the -25 to the Wellness Visit or E&M but I still have not luck. Any advise?
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    Wiki DS Confirmation Billing

    Hello. I am working with a practice in MN who has their own lab. They currently perform and bill 80307 & a confirmation (G0480, G0481, or G0482). They are looking at partnering with another clinic where they would just be doing the confirmation on positive screens. I just want to make sure...
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    Wiki Sanexas

    I apologize, I am not getting alerts when someone responds. If you still need assistance please email me at valarie@ano-rcm.com. Thanks
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    Wiki Sanexas

    I apologize, I am not getting alerts when someone responds. If you still need assistance please email me at valarie@ano-rcm.com. Thanks
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    Wiki J3411 & J3415

    :unsure: I am billing for a cocktail of medication for a neuropathy procedure and I am seeing denials come back through for J3411 - Thiamine and J3415 - Pyridoxine from Medicare stating N95 - This provider type/provider specialty may not bill this service. I was unware that these medications /...
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    Wiki Copay on Unauthorized visits

    This is exactly what I have been trying to tell my doctors however they do not like that one of the providers is not doing his job to get the service reauthorized for medical necessity so they want to keep the co-pay. I have tried to explain that there is $0 put to the patient so you can not...
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    Wiki Copay on Unauthorized visits

    I need some assistance, I have been taught that if you bill for services and they were denied due to not obtained pre-authorization that you can not keep the patients co-pay. Due to the services not being authorized it is not the patients responsibility and all services are to be adjusted off...
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    Wiki Code 97016

    Thank you very much for the information. This is what I was thinking also but wanted to confirm. This is just one more reason why I do not like or trust billing companies. They typically do not have a coder on staff and bill just because something will pay.... well that does not make it right!
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