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  1. J

    Wiki HELP, Please EEG office billing

    I am in a neurology office. We do routine EEG's. I have a couple of questions. 1. The recording time? Our machine starts recording starting with hook up. Do we include hook up or recording after patient is hooked up? 2. We have a couple of patients that did not get drowsy or go to sleep...
  2. J

    Wiki EEG for awake and alert patient

    I am needing to know same thing.
  3. J

    Wiki OPTUM VA BEHAVIORAL HEALTH CLAIMS

    I am not real familiar with them, but my experience with them is each Dr who is providing care to the patient in the hospital is responsible for getting their own pre-authorization. Substance abuse could be different, but this has been my experience with "regular" hospital stays. I have always...
  4. J

    Wiki Nurse Visit for Self Administered injection

    you can bill that code or we bill 96372 with J3490 (unless the medication has a "J" code) at 0.00 cost and we will put the NDC code in as well. So far, we have not had any that has rejected paying. We have been doing this will all insurances for a couple of years. The patient brings the...
  5. J

    Wiki CPT 95715 EEG

    Good Afternoon! Does anyone bill for CPT 95715 EEG? If so, what is the reimbursement rate for Medicare?
  6. J

    Wiki Aduhelm

    Do any of you work for a physician that prescribes Aduhelm? I have a couple of questions.
  7. J

    Wiki Aduhelm

    Do any of you work for a physician that is prescribing Aduhelm? I have a couple of questions for you.
  8. J

    Wiki E/M follow up during 10 day global

    If you are using the same dx for the follow up visit as you did the botox injection during the global period, insurance will not pay. That has been my experience in the past, migraine can not be mentioned in the notes or dx.
  9. J

    Wiki Nerve Conduction Study

    Yes, and verified if not us that referring is a Medicare referring provider.
  10. J

    Wiki Nerve Conduction Study

    I have a question. Normally when we do Nerve Conduction Studies, we also bill EMG as well. Sometimes, an EMG is not done due to patient refuses or unable to do. In a couple of cases I have billed just the nerve conduction study. It has been denied by Medicare and a couple of insurance...
  11. J

    Wiki Billing 96127 & 99406

    Good Morning! I have previously billed 96127 and 99406 together on same day with E/M, and only 1 was paid. I put 25 modifier on E/M. I also put the appropriate dx on each one. Should these both be paid on the same day as E/M? If they are, what modifier on which? if not, can you point me in...
  12. J

    Wiki Billing 96127 & 96160 together with an E/M

    I usually add 59 modifier to 96160 and we get paid.
  13. J

    Wiki Humana requiring anatomical modifier

    Have you called them? I have seen Humana many times say one thing on the denial and call them and it was denied for another completely different reason. I have not looked at the code, but I have had a few things deny for something completely different when I called them. Yes, I know, I do not...
  14. J

    Wiki Workers Comp

    I have a question regarding workers comp. I am in Georgia and this is a Georgia claim. We are seeing a new patient today. The adjuster has sent a list of questions he/she would like the provider to answer? They are questions require more detail than an office visit. I am not sure why they...
  15. J

    Wiki Medical Billing Software for small practice

    I will say MicroMD by Henry Schein, stay away. Whoever writes this software has NEVER worked in a medical office.
  16. J

    Wiki office telemedicine

    I have been billing 11 POS with 95 modifier and so far I have not had any claims denied. I hope this continues with zero denied claims.
  17. J

    Wiki 99211 vs 96372

    are you putting the "J" code on the claim with 96372 with a 0.00 cost? The claim will deny for not having the medication on the claim.
  18. J

    Wiki Tricare

    If she gets to keep the Tricare, would she be able to stay under his Tricare as a "spouse" or would she have her own? Also, this patients DOB is 1993, so she is very young!
  19. J

    Wiki Tricare

    I need some help and opinions please. I had a new patient in today that had Tricare Select. The Tricare was still showing active. On her demographic sheet, she put single and also listed a "boyfriend". The Tricare sponsor was different than her "boyfriend". The sponsor was her ex husband...
  20. J

    Wiki Dental billing

    I am trying to help a friend. It has been a while since i have billed dental claims. I hope that you can give me a general refresher. When filing medical and dental insurance for oral surgery, The medical and dental do not coordinate correct? How is the proper way of handling claims...
  21. J

    Wiki AAPC CPC practice exam

    Absolutely! I feel the practice exams helped me pass the exam the first time. Take the exams, read the rational as to why you missed the question.
  22. J

    Wiki Code changes

    When are these changes effective? Thanks!!
  23. J

    Wiki Problem

    Is anyone having trouble logging onto the CMS enterprise portal? I am getting an error message when I log in. I want to input my information before the deadline. Can anyone help?? Please! Thanks in advance!!
  24. J

    Wiki Medical records request

    I am located in Georgia. We are receiving medical record request/retrieval from 3rd party companies (Ciox, Inovalon). Of course, they are wanting it asap and also very demanding. Can we charge them for the medical records being they are not the insurance company? We do not have a contract...
  25. J

    Wiki Botox CPT question

    We are doing botox for hyperhidrosis on the scalp. Which CPT code do I bill? Do I bill 64615 or 64653 or another code? We do not do buy and bill. We get the botox from the patients specialty pharmacy. Thank you so much in advance for you help!!
  26. J

    Wiki Billing EMG/NCS question

    I have a questions regarding EMG/NCS coding/billing. I am at a Neurologist office and receive referrals from PCPs for these tests. In the PCP office notes, it says the patient denies numbness and weakness. When we asked the patient about what problems she was having, she told us she was...
  27. J

    Wiki Lumbar Puncture

    I am getting a denial from Medicare saying inappropriate place of service for 62270 diagnostic LP. This was performed in the office. Am I missing something? Please help! Thanks in advance!
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