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Hi. The CPT descriptor for 90837 is 53 - 60 minutes of individual psychotherapy. It then says to bill 90837 with add on code 99354 for 90 - 134 minutes. But what if the session lasts 80 minutes? Is it... [ Read More ]
[QUOTE="LRicci, post: 494573, member: 241541"]
I would like input on how much your clinic is charging for a particular cosmetic procedure. We are getting alot of push back from patients for the "skin... [ Read More ]
I would like input on how much your clinic is charging for a particular cosmetic procedure. We are getting alot of push back from patients for the "skin tag" removal of one or two lesions Cryotherapy... [ Read More ]
Would like some help with how to code this please. I am confused on what codes should be utilized for this case. Thank you!
Procedure Performed:
Aortic arch angiography
Selective right innominate art... [ Read More ]
No, I totally understand why your asking! He thought it was weird but he is not 100% insurance literate. He is 26 years old and never really had his own insurance or health problems at all. He told th... [ Read More ]
[QUOTE="sls314, post: 490322, member: 523015"]
If the same physician is providing both services, you would just bill globally. You wouldn't need to use the TC or the 26.
All the TC and 26 do is spl... [ Read More ]
[QUOTE="Limbanidd2012@gmail.com , post: 490318, member: 465663"]
Do you have any notes or links where they give the detailed description that we can bill both TC and 26 together in one documentation?
... [ Read More ]
Hello,
I am fairly new at coding Caths and I am needing help. UHC mcr denied cpt codes 75710 and 36011 saying documentation does not support billing. Can someone explain if this coding is correct? I ... [ Read More ]
The AAPC course states:
1st trimester less than 14 weeks 0 days
2nd trimester 14 weeks and 0 days to less than 28 weeks 0 days
3rd trimester 28 weeks and 0 days until delivery.
Medical Coding Trai... [ Read More ]
Finally get clarification on Medicare’s rules for E/M service encounters. The Centers for Medicare & Medicaid Services (CMS) unveiled an updated version of its Medicare Learning Network (MLN) “Evaluation and Management Services Guide” last August, after it was previously withdrawn [...]
Key stakeholders met to discuss ‘interconnectedness’ of U.S. healthcare system. With reports suggesting that UnitedHealth Group (UHG) forked over more than $22 million to Russian hackers Blackcat to alleviate the fallout from a cyberattack on its subsidiary Change Healthcare, it [...]
Focus on new CMS prolonged service G codes. No matter your specialty, understanding how to correctly bill evaluation and management (E/M) can mean the difference between getting a denial or not. Knowing how different payers expect these E/M services to [...]
Key stakeholders met to discuss ‘interconnectedness’ of U.S. healthcare system. With reports suggesting that UnitedHealth Group (UHG) forked over more than $22 million to Russian hackers Blackcat to alleviate the fallout from a cyberattack on its subsidiary Change Healthcare, it [...]
MACs and other payers roll out reimbursement relief options as OCR launches investigation. Heads are going to roll — and major penalties are likely going to be levied — thanks to a government investigation into the UnitedHealth Group/Change Healthcare ransomware [...]
And remember: Other payers may adopt these guidelines, too. In many coding roles, knowing how to bill evaluation and management (E/M) services is part and parcel of the job. But having the specialized knowledge to know how to bill services [...]
Finally get clarification on Medicare’s rules for E/M service encounters. The Centers for Medicare & Medicaid Services (CMS) unveiled an updated version of its Medicare Learning Network (MLN) Evaluation and Management Services Guide in August, after it was previously withdrawn [...]
Find out what your provider needs to document for E/M encounters. In February 2023, the Centers for Medicare & Medicaid Services (CMS) withdrew its Medicare Learning Network (MLN) Evaluation and Management Services Guide. On Aug. 29, 2023, CMS released an [...]
Hint: Get clarification on Medicare’s rules for E/M service encounters. Last August, the Centers for Medicare & Medicaid Services (CMS) finally released an updated version of its Medicare Learning Network (MLN) Evaluation and Management Services Guide, which it had withdrawn [...]
Finally get clarification on Medicare’s rules for E/M service encounters. On Aug. 29, 2023, the Centers for Medicare & Medicaid Services (CMS) finally released an updated version of its Medicare Learning Network (MLN) Evaluation and Management Services Guide, which it [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.