rejections

  1. J

    Wiki BCBS Claim Rejections

    Hi guys! I am wondering if anyone can help me out. I am getting BCBS claim rejections for subscriber ID not found or invalid. All info has been triple checked. EDI says that they don't even have the claims. Our clearinghouse is stating the rejection is coming from the payer. I am at an absolute...
  2. B

    Wiki HELP!! Medicare rejecting I10 (hypertension) as non specific

    Since the 10/1/18 ICD-10 update, Medicare is rejecting our claims if I10 is on it as a diagnosis. My providers tell me this is the proper code to diagnose the patient and further specificity is not correct. Is anyone else having this problem? If so, what can we do?
  3. M

    Wiki Help!!! looking for a remote job

    I've never posted on this forum before but I'm hoping that with the support of everyone here maybe I'll be able to break this cycle of rejection. I've been working as a coder for almost 2 years, prior to that I was an auditor for a 3rd party insurance company. I worked remote briefly for a...
  4. C

    Wiki H0006 another code

    BC is now denying case management code H0006 stating H and T codes are to be billed by Medicaid, any suggestions on a replacement code? Thanks
    • campglo
    • Thread
    • billing case management coding rejections substance abuse
    • Replies: 0
    • Forum: Behavioral Health
  5. C

    Wiki Physician Billing for Drug screens in 2016

    I bill for a pain management office who routinely perform in office (cups) drug screening for patients on RX narcotic meds. We would normally bill G0434-QW for such tests, but now I'm getting rejections for this. I know CMS did away with this code and replaced with several others. I started...
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