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Tag Archives: Essentials

SC BCBS Blue Essentials 00811 Denials

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Hello,

We bill for CRNA’s for anesthesia in South Carolina . We recently have been getting denials for SC BCBS Blue Essentials when we bill 00811 (When screening colonoscopy procedure turns diagnostic) as the reason "Benefit Plan does not cover this service." Is anyone else experience this issue/ have a remedy? We have reviewed the medical policy on BCBS website for our state, asked provider services, and used the Snat Chat option without getting a direct answer if policy has changed. We don’t have access to any of the Blue Essentials policy details.

Thank you!

Medical Billing and Coding Forum

Hospice Billing and Reimbursement Essentials

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Avoid misconceptions and clarify guidelines to make end-of-life services less intimidating. Hospice is a Medicare Part A benefit most often provided to terminally-ill patients who wish to remain in their homes. Medicare guidelines for hospice are detailed and can be arduous, however, making billing and reimbursement tricky. An overview of the guidelines and clarification of […]

The post Hospice Billing and Reimbursement Essentials appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

CANPC Essentials for Accurate and Efficient Medical Coding for Anesthesia and Pain Mg

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CANPC Essentials for Accurate and Efficient Medical Coding for Anesthesia and Pain Management
By Vino C. Mody Jr., COC, CPC, CCS-P, CANPC, CCVTC, CNPR, CRMC, MD, Lic., PhD
Please allow me to introduce my recently completed non-fiction book—CANPC Essentials for Accurate and Efficient Medical Coding for Anesthesia and Pain Management—a self-help book aimed at readers who are pursuing a career in anesthesia and pain management coding. The primary target audience is those who are about to take the Certified Anesthesia and Pain Management Coder (CANPCTM) examination, but the book is expected to be a useful and relevant reference book for coders already working in this field.
New-Critical care information in cases, 2018-compliant coding including compliance with 2018 ASA Crosswalk and 2018 Relative value guide, relative value order-coding, an overview of a novel anesthesiology coding method, a 15-question CANPC simulation exam based on the actual CANPC exam, and 71 cases total
Available for purchase from Amazon

Medical Billing and Coding Forum

Equip Your Radiology Practice with Audit Essentials

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Four best practices when following radiology compliance regulations. By Kim Wells, CPC, CPMA, CEMC, AAPC Fellow The issue of healthcare fraud and abuse has attracted a lot of attention in recent years, primarily because the financial losses attributed to it are estimated to be billions of dollars, annually. Below are four tips for ensuring your […]
AAPC Knowledge Center

Critical Care Documentation Essentials

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Critical Care services (99291-99292) are time-based, and improper documentation of time is a frequent reason that payers deny payment for these services. Educating providers to document time appropriately will help to maximize reimbursement and reduce additional documentation requests (ADRs). The American Medical Association (AMA) defines critical care as the direct delivery by a physician(s) or […]
AAPC Knowledge Center