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Tag Archives: Humana
Humana Coding Educator Position – North Carolina
Humana rejecting injection billing
I keep getting claims rejected from Humana on injections. The error message is 2400 SUB-ELEMENT SV101-07 IS USED.
I am added line note information including the name of the medication, the NDC code and the number of units. What else do I need to add?
Thank you!
Ellen Fleming, CPC, CMA
Humana recoup of allergy testing fees
Is any other office having an issue with Humana recouping allergy testing paid claims? They state no interpretation we have provided both the test reading and our physician interpretation and plan of care.
Humana is denying my cpt 20610
We bill 20610 all the time to Humana and Medicare with many different Dx codes but all of a sudden Humana is denying then when billed with dx M67.811 and all the other codes in that dx family. I have checked the CMs website and there isn’t a LCD code listing for this cpt. Can any one help me?? Have called Humana but I find whenever I call them it is a waste of my time and don’t get clear information that makes any sense.
Patient has Medicare Part A only and secondary Humana; will Humana pay ?
We had a patient who either didn’t understand her coverage or misrepresented her coverage. She said she has Humana primary and MCR Part A secondary.
She was in the hospital for 2 weeks. Our doctor took good care of her and when we submitted the claim, we were paid by Humana only 20% of allowable averaging $ 15-$ 20 per visit. However, we were never paid the 80% since MCR Part A won’t pay. How do we appeal it?
Thanks.
She was in the hospital for 2 weeks. Our doctor took good care of her and when we submitted the claim, we were paid by Humana only 20% of allowable averaging $ 15-$ 20 per visit. However, we were never paid the 80% since MCR Part A won’t pay. How do we appeal it?
Thanks.
How to bill a TF with additional levels for Humana
Humana requires all levels to have a location modifier. For example if my provider preformed the following injections:
right L2-L3, left L4-L5 and bilateral L3-L4 Transforaminal ESI
we would bill most carriers as follows
right L2-L3, left L4-L5 and bilateral L3-L4 Transforaminal ESI
we would bill most carriers as follows
64483-50 / 64484 2 units
but Humana wants the additional levels to have a location modifier, so how would this be billed to Humana?
64483-50 / 64484-50 ?
I know that the additional levels are not on the same location but it was done RT/LT. If it was LT/LT or RT/RT I know we would do 2 units but since it is not I feel my only option is 50 for bilateral. I am correct in thinking this? our would we bill:
64483-50 / 64484-RT / 64484-LT?