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  1. J

    Wiki Claims Specialist onsite only in Sugar Hill GA

    Company Description Kaysome Billing provides a variety of services to meet the needs of each individual practice. We go above and beyond the standard billing service role by offering training and education to providers, staff, and new hires. We provide training options both in-office, remote...
  2. J

    Wiki DME codes for chiro billing

    Anyone familiar with billing DME? L0113 says the service type is lump sum purchase of dme, prosthetics, orthotics, but E0480 has rental of dme. L0113 Cervical Orthotic This is a tool that will be used during a passive exercise to help restore to the proper lordosis in the patient's cervical...
  3. J

    Wiki eClinical Works

    Do you still need help with Trizetto?
  4. J

    Wiki Help credentialing with VA

    Does anyone have experience credentialing with VA? This would be for a chiropractor. Is there a central credentialing office or do you just contact the nearest VA facility to the provider? Any info would be helpful.
  5. J

    Wiki Chiro billing in NC

    Thanks for the info.
  6. J

    Wiki Chiro billing in NC

    So if you want to be IN network with Blue Cross NC, you MUST sign up with HNS? How is that fair?
  7. J

    Wiki Chiro billing in NC

    Does anyone know about billing for Blue Cross of North Carolina and having to use Health Network Solutions (HNS)? Im being told you have to sign up with HNS which is a 3rd party and theres no choice. Help!
  8. J

    Wiki Provider needing interim billing

    I would be happy to help! Jennifer Alexander, CPC, CPPM Medical Billing Solutions jennalex.mbs@gmail.com http://https://www.linkedin.com/in/jennifer-alexander-mbs/
  9. J

    Wiki CPC-A seeking entry level coding position in South Florida Area

    The attachment is very small. Can you email me your resume? jennalex.mbs@gmail.com
  10. J

    Wiki CCPC in Florida

    I need a CCPC in Florida. Please send Resume to: consultants.cmc@gmail.com Jennifer Alexander, CPC HR recruiter I am also the President of the Lauderdale Lakes Florida Chapter https://www.facebook.com/groups/AAPCLL/
  11. J

    Wiki keeping eobs

    what are the state guidelines in New York tfor keeping hard copies of eobs and for how long? Do these stay in the physician office or with the billing service?
  12. J

    Wiki Medicare secondary

    Im actually trying to avoid having to send it to Medicare secondary. In the past they pay incorrectly and its causes refunds for me and the patients being confused by multiple Medicare notices being sent to them. Most of the patients are seen in the hospital so authorizations are not an issue...
  13. J

    Wiki Medicare secondary

    I need some help with this. If I see a patient who has an OUT OF NETWORK carrier as primary and Medicare as secondary (I am par with only Medicare), am I required to submit to medicare even if the patient should be responsible in full for the billed amount according to the primary carrier? I...
  14. J

    Wiki Entry Level Coder Seeking New Employment

    Ashley, I run my own medical billing business. Send me your resume, hours and what salary you are looking for. jennifer.medicalbilling@yahoo.com
  15. J

    Wiki Out of Network Payment To Patient

    I have OON doctors in NY and the patients do keep the checks. I make a call to them about getting the checks sent in. If that doesnt work and they do not pay, as well as sending them to collections, I send a letter than explains that I will be contacting the insurance co and asking them to...
  16. J

    Wiki Smoking cessation

    I bill and e/m 99xxx- 25, 99406 I used dx 605.1 and v15.82 99401 is preventative care not smoking cessation. 99406 or 99407 are the codes that should be used for smoking cessation depending on time.
  17. J

    Wiki Re-Interpretations for CT scans and heart caths

    I use the mod 26 for Thoracic surgeons re-reading CT scans. Medicare pays without a problem.
  18. J

    Wiki modifer 26

    The reimbursment is going to be different with and without a -26. In some instances, I cant get paid for the taking and reading the US, so I will resumbit with a -26 and atleast get something.
  19. J

    Wiki aetna recoupments

    I have a huge issue with aetna taking money back from a non-par provider without notice. has anyone had any dealings with them? My appeal is so confusing because it involves payment agreements and recoupments. HELP!! :confused:
  20. J

    Wiki Pqri

    I am reporting PQRI for Thoracic Surgeons. If you need help you can contact me and we can set up a time to talk. There is alot to go over and understand. I would be here writing forever!!! My email is: jennfier.medicalbilling@yahoo.com
  21. J

    Wiki foot orthotics

    728.71 gets me paid for the orthotics
  22. J

    Wiki umbilical hernia

    is there a cpt code for "pushing back" a hernia until the patient can see a surgeon?
  23. J

    Wiki How many work from home vs an office?

    Both. I Have A Very Flexible Schedule. I Work For 2 Seperate Practices So I Am At The Office And At Home. I Make My Own Schedule.
  24. J

    Wiki Billing with 1500 form?

    i think this only applies to NY medicaid. they dont want it folded at all. they will send it back. :confused:
  25. J

    Wiki Change diagnosis for reimbursement

    I billed for Chiropractic in CT. I was never given a problem by Medicare. I billed for the visits and never had any denied. Some patients came one a week for the whole year and everything was paid. no notes were ever asked for.
  26. J

    Wiki Do you think we can bill for this....

    just check with the hospital to see if they will accept your ekg and not their own. The hospital i send patients to for pre-testing wont accept anything from anybody.
  27. J

    Wiki durable medical equipment

    whats your specialty?
  28. J

    Wiki specialty exam?

    Has anyone taken the specialty exam cor CTS? How is the test? Is it helpful in the pratice?
  29. J

    Wiki use of modifier 59 on pulmonary procedures

    its bundled- i have never been paid for it. neither has anyone i know.
  30. J

    Wiki Thoracic Surgery help

    If its documented- I bill for it. I have been getting paid for it with a mod 59 and a dx of neuritis/neuralgia etc.
  31. J

    Wiki unlisted codes

    i also am trying to get paid for unlisted codes by medicare for PEG's. You need to submit documentation and show RVU's and what the closest procedure is.
  32. J

    Wiki Cardovascular/Thoracic Coding Specialist

    I am currently coding and billing for a Thoracic Surgery group in New York. If you still need you can reach me at 516-424-0683. Jennifer
  33. J

    Wiki Chiropractic anyone?

    hey, i used to bill for chiro. you can use e/m on the initial visit (consult with mod 25) but the ins co's dont like to see office visit with manipulation codes. or they may pay the e/m since it may be a lower fee schedule. let me know if you need anything else since i still help them out once...
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