Hello,
I have billed 33286 and 33285 59. Medicare plus blue is denying the 33286. Does 33826 need a modifier ? Any suggestions would be greatly appreciated?
Thanks,
Kayla
Click here for more sample CPC practice exam questions with Full Rationale Answers
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
Tag Archives: Denial
Medicaid Billing Denial codes
Good Afternoon,
I keep getting denial code 02287- Delay Reason Code 11 ( other delay) Requires manual review. When billing this out my system states that a denial code is required, and this is the only code that fits the scenario of the claim. How do I correct these to receive payment? Thank you for any assistance.
I keep getting denial code 02287- Delay Reason Code 11 ( other delay) Requires manual review. When billing this out my system states that a denial code is required, and this is the only code that fits the scenario of the claim. How do I correct these to receive payment? Thank you for any assistance.
80305 maximum frequency denial.
Getting the denial CO-151 (Payment adjusted because the payer deems the information submitted does not support this many/ frequency of services).
We run the 80305 dipstick test once a month for patients and quarterly send out a 80307 which test the same thing and more. I have called around and cant get a good answer, and the info I am reading is saying that it is a test that we should be able to run once daily and even if we run the 80305 and send out 80307 on the same date, we should be able to bill the 80305 in house and the lab bill 80307 due to different ID.
Now am I Missing some thing? Does anyone have any info on why I would be getting this error? Do you know if their is a limit to how often we can run a test like this in a year period, cause I cant get any info from the insurances themselves.
ICD10 codes mutual exclusive denial
I am hoping someone can help me with a blue cross denial
I billed ICD10 codes E78.5 E29.1 to 99214 Blue cross denied as Mutual exclusive any advise would be appreciated.
I billed ICD10 codes E78.5 E29.1 to 99214 Blue cross denied as Mutual exclusive any advise would be appreciated.
Denial from Primary
If a patient has two insurances and the primary denies (denial is appealed and upheld), do you have to bill the secondary insurance? A co-worker was told to adjust and to not bill the secondary at all.
Viva Health Claim Denial
I have a claim where Viva Health is denying due to: diagnosis(es) billed are inappropriate for pos. The given diagnosis for this date of service is:
I10,E78.5,E03.9,I63.9,E55.9,J02.9 and R73.09. The patient came in for an office visit and then had a flu shot same day. Why would this claim be rejecting. Any help would be appreciated.
I10,E78.5,E03.9,I63.9,E55.9,J02.9 and R73.09. The patient came in for an office visit and then had a flu shot same day. Why would this claim be rejecting. Any help would be appreciated.
Bethany K. CPC,CPB
Code H0018 denial from Humana
Hello, I work for a billing company here in California and I recently got a denial from Humana stating that we can’t bill code H0018, because we are not a state Medicaid agency. This is first time receiving a denial like this. I have no problem with all the other insurance companies. Has anyone out there received this denial and if so is there another code that you billed instead of the H0018?
Mercy
Denial for Flu vacc with MVP NDC dose requirement
Wondering if any one else has had denial for flu vaccine MVP request dose given we submitted the claim with the 11 digit NDC 58160090552 ML0.5 and received a denial stating decimal precision. Value submitted 0 error code M (missing)
Is there a different way to submit when dose is required ?
appreciate help in correcting
Is there a different way to submit when dose is required ?
appreciate help in correcting
52 modifier denial on claim from medicare
Good Morning,
I received a denial on 2 claims 2 separate patients that modifier 52 was added due to my physician not being able to complete these procedures.
I received a denial on 2 claims 2 separate patients that modifier 52 was added due to my physician not being able to complete these procedures.
the Denial code was 16 saying claim lack service information.
Are they looking for the op report?
Appreciate the Education
Assistant Surgeon claim denial: considered inclusive …
In GYN surgery, the primary surgeon did multiple procedures. The assistant surgeon assisted with only one of those procedures. The procedure that had the assistant was considered inclusive of the other services done by the primary surgeon. Does the assistant surgeon have any standing for appeal? I have no administration over the claims or billing of the primary surgeon. The assistant surgeon is reaching out to me to see if there is anything he can do to get paid.