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Latest activity

  • G
    I agree. This took me a lot of time and effort. How am I supposed to keep practicing my skills if I can’t even find work?! What was the point?
  • A
    Does anyone know why J9217-JZ with dx F64.0 is denying, CO11? The payer is BCBS Medicaid.
  • J
    I am offering independent revenue cycle support for providers who need a designated billing specialist, to executively focus on reducing or eliminating your 90 days+ aging claims. Please reach out to me if you are interested and I will share...
  • M
    We obtain consent for treatment annually. For procedures, these consents are obtained for each procedure. If a patient comes in for a procedure today, they sign an informed consent for that procedure. If the patient has multiple procedures the...
  • M
    What is the final diagnostic statement for each condition?
  • rthomas@impcna.com
    rthomas@impcna.com replied to the thread Consent for Treatment.
    We obtain consent for treatment annually. For procedures, these consents are obtained for each procedure. If a patient comes in for a procedure today, they sign an informed consent for that procedure. If the patient has multiple procedures the...
  • rthomas@impcna.com
    Is this happening with a single provider or multiple providers? If it is a single provider, make sure that provider is enrolled in the VFC program.
  • L
    I've come across two organizations that use the EPIC visit diagnosis on the detailed report as the main driver of the reported codes that are entered by the provider. However the documentation in the note does not support either specificity...
  • D
    Hoping this will be a rather straightforward question. For reference, I am in NC at a specialist office (place of service is always 11, billed professional services) How often do we need to get a consent for treatment signed? We do it at the...
  • V
    venus st claire replied to the thread Cpt 92558 and medicaid.
    Also, with AZ Medicaid, I am having problems with them not paying for labs, strep, flu A & B, and COVID testing. I work for a Pediatric office
  • V
    venus st claire replied to the thread Cpt 92558 and medicaid.
    I am also having the same problem as Lacey
  • M
    michellepilcher reacted to Cynthia Hughes's post in the thread Phantom Limb Pain with Like Like.
    It isn't clear that you are doing anything wrong. Even when coding one of the conditions listed in the Excludes1 note to G54 codes, ICD-10-CM guidelines state, "An exception to the Excludes1 definition is the circumstance when the two conditions...
  • C
    Cynthia Hughes replied to the thread Phantom Limb Pain.
    It isn't clear that you are doing anything wrong. Even when coding one of the conditions listed in the Excludes1 note to G54 codes, ICD-10-CM guidelines state, "An exception to the Excludes1 definition is the circumstance when the two conditions...
  • O
    OnelM2023 replied to the thread FLORIDA MEDICAID BILLING.
    I appreciate you all. Based on the information above, can someone help me understand what I might be doing wrong? I’ve submitted the claim with 90460 by itself and also with 90460 x 3, but it still isn’t getting paid. I’m completely lost at this...
  • E
    ElleK reacted to regananderson's post in the thread Esketamine Billing with Like Like.
    To bill the G code you are supposed to be buying the medication, that's why the reimbursement is so much higher, the medication is crazy expensive if not buying in bulk. We were billing for spravato using the G codes, but have now changed to E/M...
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