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    Wiki J7327 Modifier ?

    Thank you! I found this morning the description from CMS. That and your descriptions and fictitious dosage info helped clarify it. I am sharing with the team in our morning meeting. Thank you again. :)
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    Wiki J7327 Modifier ?

    Hi Everyone, Lately we are receiving denials from Commercial payers (Humana Medicare Replacement in this question) for J7327. The claim was coded out as 20610, LT qty 1 and J7327 QTY 1 both with dx code M17.11. They paid on the 20610 but have denied the J7327 with the following reason...
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    Wiki Anti-Kickback statute question

    A receptionist in one of our specialty clinics has been soliciting patients with a side hustle business that she has. Proving them with her personal information and business info. It is not healthcare related. Would something like this be also a form of violating the statute? She would be...
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    Wiki Correct coding question

    We have received an order for CPT 70553, MRI brain W and W/O contrast. On the order the dx code provided is N91.2, Amennorea, unspecified. Also on this order it states the patient has E23.0 (Hypopituitarism). But that is not the listed dx code for the reason for the order. There are...
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