Hi ,
We are getting denial of CPT 94664 billed with 99215 for "tuft healthcare" insurance. We added 25 modifier to 99215. Then also not paid. Any advises how to make it billed.
Thanks,
Jicy Gopal, CPC
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Tag Archives: Wiki
Wiki Kaiser Coding test
Has anybody taken Kaiser Permanente’s coding test? If yes, how did you practice?
Wiki Primary Payor Determination – HELP! BH Offices and Beyond
I need some help please.
I am working with some Behavioral Health Offices that are having some issues determining Primary Payors. I am looking for a chart or decision tree or anything that will not only look at Medicare vs Group Health but all payors. Because more often than not we are billing across Medicare, Group Health, Medicaid Medical Plan, and RHBA.
While I can look at these and determine, prime, secondary, tertiary I am having a difficult time being able to give them the tools to be able to do it on their own ongoing… Because the RHBA has been the main Behavioral Health payor for so long it is very challenging to have them look at all four payors and be able to sefl evaluate it… Does anyone have any tools or forms that you use that could be of any help? 😮
Thanks in advance for any assistance you can give….
JC
I am working with some Behavioral Health Offices that are having some issues determining Primary Payors. I am looking for a chart or decision tree or anything that will not only look at Medicare vs Group Health but all payors. Because more often than not we are billing across Medicare, Group Health, Medicaid Medical Plan, and RHBA.
While I can look at these and determine, prime, secondary, tertiary I am having a difficult time being able to give them the tools to be able to do it on their own ongoing… Because the RHBA has been the main Behavioral Health payor for so long it is very challenging to have them look at all four payors and be able to sefl evaluate it… Does anyone have any tools or forms that you use that could be of any help? 😮
Thanks in advance for any assistance you can give….
JC
Wiki Coding CPT 51701 for Foley catheter placement in ED
Please clarify on coding CPT 51701 for Foley catheter placement attempted with nil urine output in ED set up ? it is OK to code CPT 51701 or inclusive in EM visit as no urine output.
Wiki Hedis limits documentation!
Is the certified coder entitled to submit cpt II codes for retinal screening, BMI,BP reading, A1c results abstracted from the medical charts for 2017 date of service for HEDIS/STARS measures? Is there any policy in place to use as a guide or reference ? Thank you in advance for your help! thank you for your time and help with reply to these questions. Maria
Wiki facet arthropathy
facet arthropathy – Lumbar : , L3, L4, L5 and S1 what is the ICD ?
Wiki Under what circumstance, cpt 68760 or 68761 with modifier 50 is used.
Under what circumstances cpt code 68760 and 68761 with modifier 50 is used, even not only bilateral lower lids, but also bilateral upper lids.
This is pertains to medicare reimbursement.
This is pertains to medicare reimbursement.
Wiki Ercp
"INDICATION: Biliary obstruction secondary to CBD stone.
DESCRIPTION OF PROCEDURE: Risks and benefits were explained to the patient and informed consent was obtained. The procedure was
done in the endoscopy suite with the assistance of Dr. X for the rendezvous procedure with a previously placed percutaneous stent and wire, which was extended transhepatic into the common bile duct and grabbed with a snare through the
sphincterotome. Cholangiogram showed a large proximal biliary stone in the area of bifurcation. A 1-cm sphincterotomy was done
and the duct was swept with 10- to 12-mm biliary balloon, with extraction of a proximal obstructive stone. At the end of the case, occlusion cholangiogram did not show any additional filling defect with a clean common bile duct otherwise.
IMPRESSION: Status post sphincterotomy and extraction of a large obstructive biliary stone."
For the above scenario what will be the CPT codes?
Wiki Newly Certified CPC-A & ICD-10 Coder & Biller Seeking Employment
Currently looking for a position that will allow me to provide exceptional medical record abstracting skills by applying correct code sets based on current guidelines.
I will relocate.
I will relocate.
Wiki Cpt code for amniotic graft toe
Cpt code for amniotic graft toe