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First, Humana DID pay 80%. It's 80% of the allowed amount, not 80% of billed charges. $763.96 x 80% = $611.17.
But here's the thing... unless it is in the deductible period at the beginning of the ... [ Read More ]
Any advice would be appreciated.
I have an example of a patient that has Humana Medicare Replacement as primary and Medicaid as secondary. Billed amount $2,150. Humana allowed $763.96 and paid $611.17... [ Read More ]
[B]Procedures:
INCISION AND DRAINAGE OF ABSCESS WITH REMOVAL OF FOREIGN BODY[/B]: The plantar surface of the right foot was cleansed with Betadine swab sticks ×3. No local anesthesia was used. Th... [ Read More ]
Per NCD 20.15 its not covered for routine other than the initial welcome to medicare visit.
[QUOTE][COLOR=#000000][FONT="]There is no coverage for EKG services when rendered as a screening test o... [ Read More ]
[QUOTE="elizabethcaste, post: 426935, member: 344648"]How do you code a patient that is coming for therapy services and dx is status post rt shoulder arthroplasty?[/QUOTE]
Didn't see any replies, so ... [ Read More ]
[QUOTE="Chelsea1, post: 410292, member: 166144"]I do not know which stent code to use for the following portion of this report;
Using a LIMA guiding catheter, the ostium of the LIMA graft was cannuli... [ Read More ]
A provider has asked the following question - There are different codes for follow-up paps when someone has had an abnormal one. There are the abnormal cytology ones R87.610, .611, .612, .613. Then th... [ Read More ]
A provider has asked the following question - There are different codes for follow-up paps when someone has had an abnormal one. There are the abnormal cytology ones R87.610, .611, .612, .613. Then th... [ Read More ]
[QUOTE="kseverson, post: 402961, member: 40199"]I am a certified coder. In my current job, I'm an office manager and do the coding along with all the other office management tasks. I'm thinking abou... [ Read More ]