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Pediatric Coding Alert
2016 Newsletter
Reader Question: Tricare Is Usually Secondary
Pediatric Coding Alert
Reader Question:
Tricare Is Usually Secondary
Published on Wed Dec 23, 2015
Question: We had a patient present with Tricare insurance and we billed the claim to Tricare. A few days later, the parent called to say [...]
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Other Articles in this issue of
Pediatric Coding Alert
Preventive Care:
5 Vaccine Answers Straight From Your Payers
Hint: Know the HPV vaccine coverage ages for your insurer. Immunizations likely make up a [...]
Compliance:
OIG Will Take A Closer Look at These Pediatric Issues in 2016
Button up your prolonged service codes. Billing for prolonged services may have just gotten more [...]
ICD-10:
Know How ICD-10 Transforms the Way You Code These Services
Keep these tips in mind as you report your services. Although most practices report a [...]
Reader Question:
Ask Payers About Coordination of Care Rules
Question: Our pediatrician makes a lot of phone calls to patients’ parents and other clinicians [...]
You Be the Coder:
Don't Base E/M Level on Dx
Question: Which code should we report for evaluation of an ear ache, sore throat, runny [...]
Reader Question:
Mind the Rules for Chart Amendments
Question: One of our pediatricians made mistakes on several charts and printed out new documentation [...]
Reader Question:
Look to Modifiers for Sick/Well Visit Combo
Question: We frequently have babies present for well visits but the doctor finds a problem [...]
Reader Question:
Check Age for Circumcision Patient
Question: Our pediatrician has never performed a circumcision in the office before, but yesterday he [...]
Reader Question:
Tricare Is Usually Secondary
Question: We had a patient present with Tricare insurance and we billed the claim to [...]
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