Could someone please offer advice on how your family medicine practice handles the emergent need to inject a patient with an Epi Pen (J0171). I cannot find any clear perimeters on how to bill for this service. I have researched what our office pays for a two pack of these pens ($ 800). I do realize that they come in two size (Jr 0.3mg & Adult 0.15mg). Would anyone be willing to share how your office handles billing for this service? I have researched billing for Medicare and have found that they only pay 0.74 per mg for this service so that is not going to be practical to bill to them. Any info which you are willing to share would be extremely helpful. I have also checked with the docs to see why they do not just opt to carry the epinephrine and draw upon the need basis but they have advise that the pen elevates the possibility for an error. Thanks for sharing any and all info.
Click here for more sample CPC practice exam questions with Full Rationale Answers
Click here for more sample CPC practice exam questions and answers with full rationale
CPC Practice Exam and Study Guide Package
What makes a good CPC Practice Exam? Questions and Answers with Full Rationale
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Auto
Fire Engine non transport billing codes to Auto Insurance
I am receiving requests to bill for Fire Department /Fire Engine services. Firehouses in our area are looking for revenue. It has been difficult researching the non-transport coding as everything is tied to the ambulance. This is when the Fire Engine is the first responder on the scene. Does anyone have experience in billing Auto Insurance for a Fire Engine non-transport service? Any advise would be greatly appreciated.
Cindy
Cindy
MI Auto Carrier Paying Less Than Billed Amount
I am looking for information regarding Michigan Auto Claims and how to handle the remaining balance.
Some of our claims are paid less than the billed amount with the carrier stating it is "above the usual and customary" for our area.
We do not have a contract with the auto carrier and feel that they do not have the right to pay less than our fee.
Normally, when dealing with an insurance company that we have no contract with, the unpaid portion is billed to the patient.
The auto carrier is informing me and the patient that we are not allowed to balance bill the patient for the remaining balance.
I would appreciate any input on this issue.
Thank you so much.
Some of our claims are paid less than the billed amount with the carrier stating it is "above the usual and customary" for our area.
We do not have a contract with the auto carrier and feel that they do not have the right to pay less than our fee.
Normally, when dealing with an insurance company that we have no contract with, the unpaid portion is billed to the patient.
The auto carrier is informing me and the patient that we are not allowed to balance bill the patient for the remaining balance.
I would appreciate any input on this issue.
Thank you so much.