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My doctor gives Eligard in the office. I billed J9217 with dc C61 for prostate cancer on both the J code and the administration code of 96402. HPHC is denying this code (96402) stating that I need to bill with the primary dx. Is C61 prostate cancer not a proper primary code for 96402?
Thank you,
Rhonda
The jury is still out on whether “cutting the red tape” will lessen burdensome regulations that have long plagued evaluation and management services. Providers have long complained about having to enter duplicative and clinically insignificant information into the medical record to meet coding and billing requirements. Now, the Centers for Medicare & Medicaid Services (CMS) […]
The post Patients Over Paperwork Puts E/M Coding Under Greater Scrutiny appeared first on AAPC Knowledge Center.
Have a question as to how the insurance companies choose primary and secondary for married couples and/or older children with respect to who’s insurance is first for billing purposes.
thank you
cynthia
A final rule released for public inspection Nov. 2 finalizes policy for Year 3 (2019/2021) of the Quality Payment Program (QPP). The Centers for Medicare & Medicaid Services (CMS) continues to implement the Merit-based Incentive Payment System (MIPS) and Advanced Alternate Payment Models (APMs), as required by law (i.e., MACRA), while working to reduce the […]
The post CMS Discloses Requirements for Positive Payments Under MIPS in 2021 appeared first on AAPC Knowledge Center.
John H. Durham, United States Attorney for the District of Connecticut, today declared that HELAR CAMPOS, MD, a doctor with a training in New London and Norwich, has gone into a common settlement with the administration in which he will pay $ 99,912 to determine charges that he abused the False Claims Act.
The post Southeastern Connecticut Doctor Settles under the False Claims Act for Nearly 100K appeared first on The Coding Network.