Also, has anyone been experiencing very low reimbursement rates for out of network substance abuse treatment in Washington state through bcbs regence and premera?
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: Reimbursement
Pre Employment Billing & Reimbursement Skills Test
Thanks in advance.
Diane
Reimbursement for Orthognathic surgery from Tricare
Any input in MUCH appreciated!
:confused:
Achieve accurate reimbursement and compliance with these best practices
Hospice Billing and Reimbursement Essentials
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.
Billing and Reimbursement specialist- Infusion Therapy and Specialty Pharmacy
facility claim reimbursement
2 claims one for physician and one for facility both cms1500
On the Physician claim do I use rendering NPI and modifier 26 on each cpt?
ON the facility claim do I use no NPI except that of group/entity and then a TC on all CPT?
NEED HELP QUICKLY, please.
0295T Reimbursement
Thank you, Dee
Calculating reimbursement under PDPM
Post Op Pain Reimbursement – Payment for 76942 (x2) when billed with 64447 & 64448
Modifier 26 is added to each CPT 76942 item listed separately on each line.
98% of the time, both 76942 codes are denied; 1 with denial code CO-151 (..excessive amt/frequency of services not supported) and the other with denial code OA-18 (duplicate services).
They are then submitted for reconsideration with the result being that only 1 pays and the other denies as a duplicate.
2 images are submitted for the 2 sites, however, the provider does his dictation for both procedures on the same procedure note.
I am looking for advice on how to get the 76942 codes to pay for both without having to appeal or suggestions for documentation to submit for successful appeal for both USG’s.
Question: What is the correct way to bill for TWO CPT codes 76942 (Ultra Sound Guidance) with 64447 (Adductor canal single shot injection for a pain block) and
64448 (Adductor canal continuous catheter pain block) when performed on a single patient?
Question: Do additional modifiers need to be submitted along with the modifier 26?
Thank you for your assistance.