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    Wiki BCBS DENYING 64450 WHEN BILLED WITH 97110

    Nicole, Thanks for the info but the therapy is billed under the same provider as the 64450. A PTA is providing the therapy and we bill under the supervising provider. So it still is bundling.
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    Wiki BCBS DENYING 64450 WHEN BILLED WITH 97110

    I have a provider who performs peripheral nerve injections on a patient then the pt receives physical therapy by a PT on the same dos. Both services are documented separately and BCBS is denying the peripheral nerve injections as bundled to the physical therapy, stating the use of the modifier...
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    Wiki Bundled Denial from BCBS on 97110

    I have a provider who performs peripheral nerve injections on a patient then the pt receives physical therapy by a PT on the same dos. Both services are documented separately and BCBS is denying the peripheral nerve injections as bundled to the physical therapy, stating the use of the modifier...
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    Wiki Can a Provider supervise another Provider that is treating his family member?

    Thomas, I agree with you. I could not find anything other than the information you stated. I will check with our attorney.
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    Wiki Can a Provider supervise another Provider that is treating his family member?

    I have a Psychologist who supervises a Licensed Clinical Therapist that treats the children of the Psychologist. The Psychologist does not treat his children, but he signs off on the LCT's notes. Is it legal for the Psychologist to supervise the LCT?
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    Wiki 2022 New Modifiers FT, FS, FQ, FR

    Thank you so much, this is a big help.
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    Wiki 2022 New Modifiers FT, FS, FQ, FR

    Jkyles, can you tell me where you found the implementation date of mid-Feb for the FS,FT modifier? Per the HCPCS Jan 2022 update, it was effective 1/1/2022 but I am getting denials from Humana stating it was not effective for Jan dates.
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    Wiki Endothelial Function Testing Vendys II

    Hello, My provider is looking at using the Endothelix Vendys II Endothelial Function testing. The company is recommending using 93923, a multilevel ABI code for billing. I can only find information showing EndoPat was previously billed with 0337T which was deleted in 2019 and AMA has...
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    Wiki Looking for a company to help with contracting

    Credentialing The company I work for does credentialing for independent providers. If you are still in need of assistance let me know and I will send you contact informaiton
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    Wiki ? -office visits/pt in a rehab facility

    Our office has had the same issue. We have billed the claims with the EM code and the POS 11. If we receive a denial we will appeal the claim with the medical records and if we can get it notes from the rehab facility stating the patient was transported to the physician office via...
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    Wiki G0180 G0181 Pls HELP!!!!

    G0181 billed with G0179 Evangelina, Our Physician routinely provider care plan oversight to HH patients. At the end of the month we will bill out G0181 for the CPO. In a month when a recertification is due we bill out the G0179 in addition to the G0181. The G0181 gets denied as a duplicate...
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