authorizations

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    Wiki VACCN

    When a VA pt comes into PAIN MANAGEMENT with an authorization for say Lumbar but then wants a Cervical region procedure, is there a primary dx code to use on the auth to cover the whole back instead of JUST one or the other causing more than one authorization?
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    Wiki Not Billing Services and Not Billing in Chronological Order

    A patient has authorization for 23 visits which they have exceeded. My colleague, another CPC, believes we can submit claims for the highest reimbursement amount for these 23 visits. I believe we must submit claims in chronological order or we are committing fraud. Any thoughts with...
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    Wiki Reimbursement for Orthognathic surgery from Tricare

    Normally we bill dentally for most of our dental procedures. There are the few medical but set fee schedules help determine the over all out of pocket cost for patients. In billing medical for Orthognathic surgery, mainly Tricare, if we have the authorization/approval letter, how do I bill out...
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    Wiki Medicare Set Aside Exhausted - Private Insurance Required Auth

    Has anyone else had a patient with a third party administering the patient's Work Comp Medicare set-aside account, and the funds became exhausted, and your office was not notified? This company actually issued an EOB, but never funded the amount allowed on the EOB. The additional issue here is...
  5. E

    Wiki revenue cycle management, medical biller/collector, coder

    Mature medical biller looking for a position as a A/R specialist/collector. Many years experience of collection of A/R, correcting codes, modifiers, appeals and getting reimbursements on denied codes. Navigates with ease on all insurance websites. Have experience with Oculi-plastic...
    • eivor
    • Thread
    • appeals 2nd level appeal authorizations payments reimbursements revenue cycle
    • Replies: 0
    • Forum: Resume Postings
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