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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 CPT 95715 EEG

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

    Wiki Aduhelm

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

    Wiki Aduhelm

    Do any of you work for a physician that is prescribing Aduhelm? I have a couple of questions for you.
  5. 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...
  6. 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...
  7. 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...
  8. 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...
  9. 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...
  10. 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!!
  11. 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...
  12. 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!!
  13. 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...
  14. 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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