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    Wiki Qq091 and g0101 together

    I am getting denials for coding these two together . I know there has been several posts about this but i do not see a answer. Aren't these paid separate, how do i appeal this being bundled.
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    Wiki Provider addendums on changed or corrected dx codes

    Code issues We have certified coders who scrub the notes and notify the providers of any discrepancies prior to our billing staff getting them out the door.
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    Wiki changing level of E/M

    Changing codes You can code it down but not a higher level. Only the providers can do that and only clinical stuff can add addendums. Now if it is for future education i.e. this note is a level 3 and due to x,y and z this could have been a level 4. Then I can see it, but not to bill out at a...
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    Wiki chronic care management

    I have a question on doing the CCM. We are part of an ACO and they are doing our CCM for our patients. They are telling our providers that some of our patients are too sick to be part of CCM. I do not think they can be too sick for that from what I am reading. Does anyone else know? Also we...
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    Wiki Urgent payment question

    No Geico paid 319.00 and patient responsibility was 79. The total was like 389 and some change. Then out side of that allowed amount the attorney and owner agreed to another 500.00 the patient does not owe us.
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    Wiki Urgent payment question

    yes I am in Florida
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    Wiki Urgent payment question

    I have a question and need an answer as soon as possible. Pretty sure i am going to be giving my notice today due to this but want to make sure i am right first. We see patients for mva, we were paid by geico and the patient had a 78.00 co-insurance balance per geico. When the case settled...
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    Wiki Telemedicine

    Is anyone here billing for this? Our medical director was told it was great to do. I am seeing some information on it. I want to know are there restrictions? I do see medicare has restrictions as far as the patient's location. Are there any other ones that you know of? Is this big for an...
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    Wiki Decreased Reimbursement

    We are primary and urgent, no decrease in patients and no changes in insurance we take. That is the weird part. nothing has changed. We should not see a decrease in reimbursement
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    Wiki Decreased Reimbursement

    Is anyone seeing a decrease in reimbursements this year? Our numbers are really low and we are trying to figure out where and why. Any help would be appreciated.
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    Wiki Extended drug screen labs PLEASE HELP

    If anyone can help me or answer this question. We have a psychiatrist that has been ordering extended drug screen panels and she is marking it P1252 and that is not a code I know it has to be lab based not CPT based. One I need to know what that code is used for if anyone knows and two I need...
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    Wiki Shared room

    Is anyone going that would like to share the cost of the room ? This will be my first one and didn't really want to pay 212.00 a night for the room that I will only sleep in. You can email me Dorthi@live.com or text me 772-678-1147 or post here I would like to register ASAP. Didn't realize...
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    Wiki NCCI edits link

    Can someone please help me I do not have the Link for NCCI edits on this computer and I cannot seem to get there only to a guide as to how to use them. Trying to study for exam tomorrow and I am lost.
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    Wiki coding for male lump in breast

    male breast No in the 2018 book it says for females we have not coded it yet. when you look up the N63 codes they are for female it says int he book.
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    Wiki coding for male lump in breast

    We have an unspecified lump in the male breast the only code that states that is female only. Does anyone know of a 2018 code that can be used for males? Please help.
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    Wiki Yearly physical done by one provider and Pelvic and Pap done by another on same day

    Two providers same day? I do not think you can bill out two visits with the same office on the same day, Unless one is a different specialty. If you have a PCP who bills out the hypertension and DM and med refills and then a GYN in the office who does the pap it MIGHT be ok, but I would still...
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    Wiki Need advice regarding E&M upcode

    97 guidelines According to my notes for the CPMA course I am taking he can go with the 97 guidelines. 1. Provider can choose to use either guidelines per visit as long as they are not intermixed. 2.When audited by CMS they state they will refer to both 95 and 97 guidelines and more or less...
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    Wiki Incident - To

    Incident to question We have a group practice and on Weds our GYN who is an MD is here. She can be a supervisor for our ARNP since she is a MD correct?
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    Wiki quallity reporting

    The office I have taken over the billing on apparently does not have a quality reporting company. We are not using the one that our EMR company suggests because we are switching EMR soon. What companies are out there that anyone would suggest.
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    Wiki Surgical center

    We have primary care, Urgent care and a GYN (OB not included). Our GYN has started going to the surgery center to do procedures and they are paying pretty low in my opinion. Can someone please advise me on this. BCBS of Florida for a 58565-26 we billed out according to the fcso fee schedule and...
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    Wiki Cigna and UHC Timely

    I need advice. I came into an office that had a big mess in December and took over the billing. So timely with the 2 insurance is an issue being they are 3 months behind. No matter how hard we work it is still an issue. They are counting holidays and weekends which I think is very unfair. I am...
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    Wiki Dme very important

    Does anyone here bill DME to Medicare? The question I am being asked is this, they supply surgical dressing. Normally they receive recurring signed orders for the patients. Is it true that they only need a signed order from the physician for those patients once every three months to order...
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    Wiki HCC auditing tools

    Still have one? I am interested as well if you still have it. Dorthi@live.com
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    Wiki Chiropractic-I have a student

    I have a student in Florida that is in her externship and is having isues getting these three codes paid. What does anyone know about these codes and why they may not be getting paid. Thanks. 97140, 97010, 97014
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    Wiki Gems

    So I have a question, who all is allowing the note to transfer over to the billing and how is that working out so far? What are the pros and cons to it. We are not doing it but we are thinking about it and would like to know what we are looking at prior to. We use medisoft if that is helpful in...
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    Wiki Wellness visit with abnormal findings

    So the question is this, previously we were able to bill for an annual physical and for an office visit if we did other things and we did get paid for them both in most cases but not all. Now with the new code for annual wellness with abnormal findings, we have to put the information there so...
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    Wiki Hypertension and Heart Disease

    I had to use 2 separate codes for those today. I used the correct CAD code and the HTN code I didn't find one for all
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    Wiki Help with ICD 10

    Hmmm I am finding each one of those but not all as one. You may have to code each thing separately.
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    Wiki smoking status non smoker

    Lol I don't know if it is relevant or not to ask, but there is a code for it Z77.22, but it does say it excludes smokers.
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    Wiki Hypertension - Ok so these hypertension

    Ok so these hypertension codes are kicking my butt this morning. If I want to code for hypertension malignant without heart failure, previously 402.00, what would I use I have been trying to figure it out and it is directing me to I10 but I do not feel that would be the correct one because when...
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    Wiki Modifier GY

    HAs anyone used this? I received an email and the way I took it was if it is a service Medicare will not cover, but the secondary may and we want it to crossover to the secondary use this modifier. Is that correct? Has it worked? I have never used this and I am not curious. Dorthi
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    Wiki Wellness/ Pre-op

    I have patients coming in for a medicare wellness at the same time as the pre-op physical. Can I bill these both on the same day?? They are technically different codes.
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    Wiki Fee for Service

    The office I work for, wants the patient to pay up front for the services and we will reimburse them when we get paid until they know there are no glitches in the transition. The warning that we should be able to run the office a couple months with no pmts just in case is worrying them. Other...
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    Wiki 2015 coding books

    Is anyone else having an issue with the 2015 ICD-9 coding book winding off the spiral thing during use? I am fixing it literally every week and just wondering if anyone else is having an issue or if there is just something with mine causing it, it is so frustrating to have to take the time to...
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    Wiki Two wellness exams?

    Wellness exam It depends on how the GYN coded the exam, you can call to see when they had their last wellness exam by calling the insurance company. I have had times where they used the physical exam code and then we didn't get paid for it.
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    Wiki note question

    Ok so I have a Dr that for an ADD refill which would be a very low office visit, will have 1 paragraph but throw in under ROS 12 points reviewed all wnl. without that it is easy a 99212, can that one thing change it to a higher billing state?
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    Wiki Face to face encounters

    f2f It is for a home health F2F. not an actual office visit. that's why I am asking. He signed the face to face encounter form with all the information on it. so how do I bill it just an normal E & M code?
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    Wiki Face to face encounters

    Does anyone know if we can bill face to face encounters and if we can how I bill them? Thanks Dorthi
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    Wiki 99211 with 96372 and J10180

    .01 You have to put something in, they will send it back for 0.00 charge
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    Wiki Part B News

    Does anyone subscribe to the part B news? Is it helpful? Is it worth the money? Let me know any thoughts on this as my boss is asking me since we got a letter about it. Thanks!
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    Wiki ICD-10 exam preparation

    courses I don't need the courses I already took it through my state college. I just need something to make everyday use of it to get used to it to take the test since we aren't using it on a daily basis yet.
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    Wiki ICD-10 exam preparation

    I just took ICD-10 and wanted to get the study guides and all but do not see them for sale all they list is the ICD-9 ones on here. Does anyone know if there are some and I am just not seeing them or when they will come out so I can study a little bit more before I take the exam?
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    Wiki Billing for ICD-10

    Has anyone heard that when 10 is implemented that there will be a way for the EMR note to go directly to the insurance company and bill for us rather than us have to put in the codes and bill the insurance? My employer was saying that our clearing house EMR training they had before I came to...
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    Wiki Capitated Plan

    So we have a Humana Capitated plan, we send our notes to our MSO and they code the information for hedis measures etc. So here is our issue If a patient requires an acer/arb but cannot medically take it we are getting low scores because they are not on it but we are told there is no way to code...
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    Wiki ICD-10 Superbills

    Email Dorthi@live.com Awesome! Thank you!
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    Wiki Allergy testing

    We had a rep come in today wanting us to do allergy testing says it costs around 75.00 a test, we would be testing for 72 antigens and that we can get paid about 6.00 per antigen. We are a PCP NOT and allergist office. They want us to use code 95004X4 per antigen we are testing for. Has anyone...
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    Wiki ICD-10 Superbills

    Superbills PCP office
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    Wiki Coding from the Medical record

    Coding from the notes You have to be careful when hey are doing test to R/O something and it states that in the note, you would be better off to question the Dr on the pain have him do an addendum to the note stating there is knee pain until the there is a definite Dx to code. If it state...
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    Wiki ICD 10 preparation

    Icd- 10 Good luck, I have tried to make a superbill for 10 and as a pcp office it wil be too many pages. We do have our Dr dictating a paragraph in the EHR to help with making his notes we have one who is still paper and one who is not. I am trying to figure out a way for him to still do...
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    Wiki ICD-10 Superbills

    Our Dr still uses superbills in the room makes it easier for him. What is everyone else going to do to replace the superbills or how is their doctor going to work with things in the room for ICD-10 there is not way to make a simple Superbill for 10. I am really trying to figure out something...
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