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  1. M

    Wiki Can you change a lab diagnosis after getting a denial?

    I'm being directed to send the approved dx list to see if a code can be added that hasn't already been billed, but would be supported by the documentation. My question is: can a code be added for example 8 months after the claim was submitted? I just don't know the guidelines for denials since...
  2. M

    Wiki Can medical coders make addendums?

    Thank you so much! I appreciate all the references!
  3. M

    Wiki Can you change a lab diagnosis after getting a denial?

    I'm a newer coder and I work for a smaller private practice. I normally review charges, but recently I've been asked to help with denials. Our providers code their own charts and we have a lot of lab denials. I'm hoping someone can give me some information and references I can provide to my...
  4. M

    Wiki Can medical coders make addendums?

    I work in a practice where providers code their own charts and I review them before processing. Some of the providers feel I should make chart addendums/late entries on their behalf. I don't think I can do this because I'm not a clinical staff member and I wasn't present at the time of the...
  5. M

    Wiki 12 diagnosis codes per claim?

    Our practice has recently done an update with Veradigm. The Veradigm rep told us that there is no longer a 12 diagnosis per claim limit. Has anyone else had experience with this? She said the insurance only counts the first 4 diagnosis codes on the first two lines and then only the first...
  6. M

    Wiki G2211 billed with incident to

    Does anyone know if G2211 can be billed by an APP (incident to) if the billing provider is the patient's long term care provider? I'd appreciate links to any reference material discussing this subject matter. TIA
  7. M

    Wiki Addendums

    Can medical coders legally make chart addendums? I'm thinking we cannot, but I can't seem to find specific verbiage on CMS or AMA stating so. Does anyone have a resource on this topic? TIA
  8. M

    Wiki CCM

    Thanks so much! I appreciate the information!
  9. M

    Wiki CCM

    I have some doctors wanting to use Z codes for CCM. Is this billable? I was thinking CCM required regular diagnosis codes for monitoring, but I wasn't able to find CMS guidelines stating this specifically. TIA
  10. M

    Wiki CCM billed with Long COVID Dx

    Has anyone seen non-complex CCM 99490 billed with this long COVID dx U09.9? I'm billing for a patient with Medicare. TYSM
  11. M

    Wiki DC Vs Nashville

    Thank you so much for the information! This really helps.
  12. M

    Wiki DC Vs Nashville

    Hey there! I'm a fairly new coder and I was wondering what the difference is between the Nashville Conference and the DC Conference? Do they just cover different topics? Is one more encompassing? Or is it just personal preference? I'm trying to decide which to attend. I code in North Carolina. TYSM
  13. M

    Wiki Telehealth Documentation

    Good Morning, I was hoping to find the updated documentation requirements for Telehealth appointments. Can someone please direct me to the most current resource page? TYSM
  14. M

    Wiki 93356

    Thank you for all the information. I'll look into these resources.
  15. M

    Wiki 93356

    Thank you for all this information.This is a new code for our practice and I've been tasked with gathering information on it. Now that I've figure out which jurisdiction I'm in, is there a list of approved codes somewhere online or is it noted next to the code in the CPT book?
  16. M

    Wiki 93356

    I'm a new coder. Could you tell me how to check the jurisdiction? I'm in North Carolina.
  17. M

    Wiki 93356

    Can add on code 99356 be billed with Medicare or Medicare Advantage?
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