pay

  1. A

    Wiki Over Payment Recovery

    I recently went over all the claims that have an insurance credit owed to them. Some of these credits date years back! It seems very overwhelming. As a new policy, if a biller sees that an insurance over paid we call them within that next week. Can we send the claims in as void to have the...
  2. J

    Wiki Salary Survey

    Out of curiosity, I want to find out how much you're all earning, where you're currently located (state or country), years of experience, position you're holding and the facility type.
  3. S

    Wiki Tricare

    Help, I am new in the pediatric field. We have received letters from Tricare saying that they over paid immunizations billed out. I do not have any documentation where they were instructing providers to change the NCD units to 1 from .5 to get the claims to pay correctly. I have researched...
  4. B

    Wiki CPT code for holiday hours

    Our physicians want to bill code 99051 (open on Federal holidays). Has anyone had any experience in bililng this code. I understand that insurance companies are not required to pay for this code. Also, do you notify your patients before being seen that there is an additional charge? Any input...
    • buerklej
    • Thread
    • code notify patients pay required
    • Replies: 1
    • Forum: Pediatrics
  5. M

    Wiki Pulse oximetry in ER 94760-94761

    I'm doing a little research to see if this is something we can bill for in the ER. I know Medicare & Medicaid will not pay for this service they consider it to be bundled with the E&M. I'm not sure on our commercial payers though.
  6. K

    Wiki WCC with UA and Tympanometry

    In our office, we only do UA's during a WCC if a patient is chronic or complaining of symptoms. Does anyone do UA's on all their WCC's? If so, does it pay out when billed with Z00.129/121? Does anyone bill 92567/Tympanometry with their WCC's? Does it pay out when billed with Z01.10/.11...
  7. R

    Wiki Breast mass

    What is the dx code for breast mass? Insurance won't pay for N63. Thank You,
  8. K

    Wiki Does partnership pay 11719

    Does Partnership EVER pay for 11719? Is it constantly denied because it's considered routine? I keep getting denials with all different DX and I'm new to podiatry so I'm trying to navigate through all the guidelines.....HELP
  9. M

    Wiki Billing for Telemedicine

    I have a question regarding billing for Telemedicine. My primary care health provider is looking at doing Telemedicine. We are looking at doing it for Maryland residents (as we are a Maryland practice) and I have already done some research into which insurance providers do allow billing for...
  10. G

    Wiki G6024 and PT modifier.

    Okay, we know that Medicare is denying G6024 with a PT modifier. So my question is, how do I bill this so that they pay it?https://www.aapc.com/memberarea/forums/images/smilies/confused.png
  11. T

    Wiki Modifier 22 - Does anyone know if medicaid

    Does anyone know if medicaid and the hmo superior health will pay additional money for the modifier 22 on cpt?
    • TishCpc
    • Thread
    • additional cpt modifier money pay
    • Replies: 2
    • Forum: Modifiers
  12. D

    Wiki 80300 - give a prescription

    drug screening, they bill this in the new office I am in before they give a prescription, but its not getting paid, they said they never pay for this does anyone know the facts on this ? thank you
  13. S

    Wiki third party medical biller

    Looking for 3rd party medical biller, great opportunity to get experience as you are going to school for medical billing. Will pay for training. please email me at Booksdonrite@gmail.com
  14. A

    Wiki Medical Paying G6021 for Colonoscopy with EMR

    Medicare Paying G6021 for Colonoscopy with EMR Has anyone had any luck getting Medicare to pay G6021 for a colonoscopy with EMR? The CPT code is 45390.
  15. K

    Wiki Denied for procedure incidental to another procedure

    I billed 32551 and 99255 on the same day and it denied. Should i have billed 99255/25 with 32551 to pay. I am new to hospital in pt billing. Thanks
  16. J

    Wiki No fault won't pay driver was drinking

    OK I have a patient that was driving drunk when they were injured in a motor vehicle accident. Under NYS no fault, their insurance company is not required to pay. I billed them anyway and course they denied payment. This patient has straight Medicaid, will Medicaid pay for these office...
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