humana medicare

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    Wiki 86800 - Humana diagnosis denials - Need help!

    Hi everyone, Is anyone facing the diagnosis denials for your practices for the CPT - 86800 from Humana, Humana Medicare? We have been submitting claims with the E03.9 - Hypothyroidism, unspecified How to resolve these?Any suggestions.
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    Wiki Billing with Humana Medicare

    GYN Office in Kentucky. In the last few months, we have gotten denials back from Humana Medicare saying that pt’s policy allow only 1 preventive appt per year. Pts say they had seen their PCP for a checkup before seeing us. We think that their PCPs are using 99397 for their wellness visit and...
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