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  1. K

    Wiki CO-170 denials (Medicare)

    We are a Dr.'s office. Several CPT codes but two of the most common being denied are 87800 and 77067. Yes we have a referring physician on the claim.
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    Wiki OB billing-call arrangement

    My physicians are discussing an on call arrangement (to share call) with another OB group here in town; has anyone done this and how did you handle billing? I am concerned about us not being credentialed with the all/same payers and if we deliver one of their patients the delivery could be...
  3. K

    Wiki G4039

    Yes the first AWV is always billed with G0438. There is no time frame.
  4. K

    Wiki CO-170 (Medicare denials)

    It is for labs, cultures and mammograms. And this is exactly what the girl at Medicare told us-it was an error in their system; it was looking at it as though the provider performed the service rather than just ordering it.
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    Wiki Collection agency recommendation

    We are also in GA and use Union Credit (they are local to us in Albany) and have been very pleased.
  6. K

    Wiki CO-170 denials (Medicare)

    Anyone else having issues with claims denying with CO-170? We have several NPPs that have always ordered labs and mammograms and are now having their claims (randomly) deny with CO-170 and I can't find anything anywhere stating they aren't able to order these tests. We have called (numerous...
  7. K

    Wiki CO-170 (Medicare denials)

    Anyone else having issues with claims denying with CO-170? We have several NPPs that have always ordered labs and mammograms and are now having their claims (randomly) deny with CO-170 and I can't find anything anywhere stating they aren't able to order these tests. We have called (numerous...
  8. K

    Wiki Is anyone billing 99446-99449 and 99451-99452?

    Just curious if anyone is billing these codes? And if so how are you obtaining patient consent?
  9. K

    Wiki Medicare denials CO-170

    Anyone else having issues with claims denying with CO-170? We have several NPPs that have always ordered labs and mammograms and are now having their claims (randomly) deny with CO-170 and I can't find anything anywhere stating they aren't able to order these tests. I have called and of course...
  10. K

    Wiki Breast ultrasound

    Good morning, I have a question and would like to get some opinions. If my physician feels a breast mass/lump on exam and sends the patient for a breast ultrasound and the ultrasound doesn't detect any abnormalities, what ICD-10 would you guys use for the ultrasound? Thanks Kimberly A.Poore
  11. K

    Wiki billing for PHQ-9

    We are doing them as part of meeting requirements for our PCMH and PCSP certifications but yes they are also helpful for MIPS. I would be very appreciative if you would send me what information you have. Thanks!
  12. K

    Wiki billing for PHQ-9

    As part of being a PCMH and PCSP we have recently began having our patients (who meet certain criteria) complete a PHQ-9 and the provider reviews the results and refers out if need be. I am trying to find a simple statement/disclaimer to include at the top (or even on a cover sheet) explaining...
  13. K

    Wiki Billing for completion of forms

    Right we were definitely not planning on these being billed to the insurance companies as I know they wouldn't be covered. These would be collected up front when the forms are dropped off.
  14. K

    Wiki Billing for completion of forms

    My physicians are looking to establish a policy for completion for forms. Anyone else doing this and have any tips? I know they can't charge for SSI disability forms, are there other restrictions? Thanks!
  15. K

    Wiki help coding ADD without hyperactivity

    Good morning, what code are you guys using for ADD (in an adult)? When you look it up in the alpha index (ADD without hyperactivity) of the book it points you to F98.8 and even states to use this for adults, children and adolescents but this code has a P beside it indicating it is a pediatric...
  16. K

    Wiki Z34 codes and Z3A codes

    Yes I was wondering the same thing and does it have to be attached to every line item?
  17. K

    Wiki billing for 16 week delivery

    Good morning, hoping someone can offer some insight on how to bill for 16 week delivery. Patient presented dilated and was sent to L&D where she was given cytotech and delivered without complication. I can't seem to find a code that fits this scenario. Do we just bill E&M codes for the admission...
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