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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...
- mrsrobinson525
- Thread
- Apr 26, 2024
- Replies: 7
- Forum: Billing/Reimbursement
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...
- mrsrobinson525
- Thread
- Apr 4, 2024
- Replies: 4
- Forum: Medical Coding General Discussion
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...
- mrsrobinson525
- Thread
- Mar 6, 2024
- Replies: 0
- Forum: Billing/Reimbursement
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
- mrsrobinson525
- Thread
- Jan 24, 2024
- Replies: 0
- Forum: Medical Coding General Discussion
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
- mrsrobinson525
- Thread
- Oct 30, 2023
- Replies: 0
- Forum: Medical Coding General Discussion
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
- mrsrobinson525
- Thread
- Jun 8, 2023
- Replies: 6
- Forum: Medical Coding General Discussion
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
- mrsrobinson525
- Thread
- Apr 13, 2023
- Replies: 0
- Forum: Medical Coding General Discussion
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
- mrsrobinson525
- Thread
- Mar 24, 2023
- Replies: 2
- Forum: HEALTHCON - National Conference
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
- mrsrobinson525
- Thread
- Jan 9, 2023
- Replies: 1
- Forum: Medical Coding General Discussion
M
Wiki 93356

Can add on code 99356 be billed with Medicare or Medicare Advantage?
- mrsrobinson525
- Thread
- Nov 22, 2022
- Replies: 8
- Forum: Medical Coding General Discussion