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    Wiki MARYELLENG

    We do split billing for our inpatient Medicare cancer patients receiving daily radiation treatment. We recently received an SNF denial on the 77014TC. (We billed G6015 and 77014TC) They stated that SNF was not responsible The edit description said CMS designated these radioisotopes as Category...
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    Wiki J1950

    WE ALWAYS WERE REIMBURSED FOR THE LUPRON INJECTION WITH C61. DX. MEDICARE IS NOW DENYING AS NOT MEDICALLY NCESSARY? ANYONE ELSE EXPERIENCING THIS?
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    Wiki MARY ELLEN

    WE HAVE A NEW BILLING CLIENT WHO IS A GENERAL PRACTIONER. I AM UNFAMILIAR WITH BILLING THE SHINGLES VACCINE. I DO NOT SEE IT LISTED ON ANY FEE SCHEDULE (90750) DO WE HAVE TO INCLUDE THE NDC CODE? DO WE HAVE TO SEND THE INVOICE TO GET REIMBURSED? AM I USING AN INCORRECT CODE? ANY HELP WILL BE...
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    Wiki E/m code with procedure

    We have started getting denials when we have an e/m code with radiation set up codes (77263, 77290, 77334) we always were able to distinguish with a 25 mod. But are consistantly getting denials lately. What has changed?
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    Wiki mips incentive

    Does anyone know when we will be getting the mips incentive. I see that it is n807 on the medicare grp/rc amt codes but ours has not come thru yet?
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    Wiki Visit with set up codes

    We recently received mcr denial for 99214 (25 mod) which was billed with 77263/77290/77334. We were always paid in the past with a 25 mod on the e & m service. Call to medicare said we have to use "unbundling code" not modifier 25. Help please
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    Wiki Inpatient consult vs new [atient office visit

    Dr. Saw patient as inpatient consukt. Pt released from hospital and saw dr. In office. Can new patient code be used for subsequent office visit?
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