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    Wiki occupational therapy group vs one-on-one coding

    Here's my situation. I work as the biller and coder at a pediatric speech and occupational therapy clinic. The owner, also an OTR/L, has her own case load and has picked up a few more kids due to a COTA leaving. She started one 45 min session. When it was supposed to end, she went and got...
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    Wiki Can you bill insurance for having a translator present?

    Can having a translator be present during a speech therapy session be billed to the insurance? If so, what CPT and is there a modifier? Thanks!!
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    Wiki BC/BS of Alabama ST precert denial

    I have started working at a pediatric OT/ST facility and the All Kids program through BC/BS of Alabama is denying additional speech therapy visits for a patient that is virtually non verbal due to his Downs. He is getting better. He is having OT, too, but they are authorizing additional visits...
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    Wiki TC modifier

    Recently, one of our Medi-Cal HMO/IPA payors started denying our 81003's stating that a TC modifier is required for this test. I have appealed it stating that we do this test in house with our own equipment. They still uphold their initial denial stating that, per Medi-Cal guidelines, a TC...
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