ccm reimbursement

  1. C

    Wiki HMSA QUEST denies all CCM Codes

    Claims under HMSA Quest with CPT codes 99490 and 99439 have been denied, despite these codes being listed in both the Medicaid Fee Schedule and the HMSA Quest Physician Fee Schedules. Other Medicaid contracted payers, such as Alohacare Quest, Ohana Quest, and UHC Quest, reimburse these codes...
  2. A

    Wiki RPM/CCM medicare POS issue

    Hi everyone - I just recently joined a start up as their first full time biller. We are primarily Telehealth but have some contracts with providers in office too. We perform RPM and CCM and bill those codes to medicare under a POS of 02 or 10 depending on circumstances. Medicare and others alike...
  3. R

    Wiki CCM and BCBS

    Is anyone seeing denials from BCBS for chronic care management where nothing else is billed on the same day but the denial is that the 99490 is "incidental to itself??" If so, how are you handling these? I am not really sure how something can be incidental to itself.
  4. B

    Wiki CCM code reimbursement 1/1/18

    We are a physician office that uses Care managers that utilize the CCM codes. We are not a hospital entity, but we are a look-a-like Federally qualified health care organization. We use eclinicalworks EMR that has a module for purchase to capture this documentation and charges to maintain...
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