This has to do with Coordination of Benefits (COB). This is because at some point there was an MVA, or home accident, other third-party liability. The patient...
5626
josette sylvan
abcmdbiller
Oct 20, 2011 8:59 pm
that info is incorrect. no fault auto issue how ever the problem is that the patient had a nf case at some point, it is stuck in limbo, per mc that is what it...
5625
josette sylvan
abcmdbiller
Oct 20, 2011 8:57 pm
there is a specific department to call & fix this, i am @ work right now, will try to check in when i get home with the info To: MedicalBillers@yahoogroups.com...
5624
muhl4groups@...
muhl4groups
Oct 19, 2011 6:49 pm
This typically means the pt has a medicare hmo and not reg medicare if u get their correct card with hmo info u would just bill to the proper hmo the other is...
5623
Halbert
halberts1
Oct 19, 2011 6:45 pm
Here's another denial I have from Medicare. 99213 Dx: 250.00 401.1 272.4 remark code 21 This injury is the liability of the no fault carrier. Injury?...
5622
Halbert
halberts1
Oct 19, 2011 6:38 pm
I'm having a problem getting regular visits paid from Medicare. Example: 99213 Dx: 401.1 272.4 244.9. The remark is 24 Charges are covered under a...
5621
Melinda
melindadocsmith
Oct 5, 2011 5:39 pm
Josette, I shared your reply & this was her response. "Thanks Melinda, she's right. In looking at the chart note, this was just an unusual anomaly in the...
5620
josette sylvan
abcmdbiller
Oct 4, 2011 6:34 pm
this is definitely not a medicare issue order of any service/procedure to any patient is simply medical doctor 101, you write it down as being advised to have...
5619
Maryann Burke
chiroblr
Sep 30, 2011 5:11 pm
I don't know what your state laws require but I would bill the patient with a statement that if they provide the information you need and cooperate you will...
5618
Corri
virtuous_gra...
Sep 30, 2011 5:06 pm
We saw a patient in our office on 9/21 when they called to schedule they gave us private health insurance however during the course of their appointment they...
5617
Melinda
melindadocsmith
Sep 28, 2011 4:58 pm
Question? So, has everyone ordered their workbooks, etc. for preparing for ICD-10? Wondering how far in advance we will need to start studying? Will the codes...
5616
Melinda
melindadocsmith
Sep 26, 2011 10:07 pm
Question: Coder presented info regarding a CERT (Medicare) chart review at her clinic. Apparently, the office visit was paid, but not the EKG. It was...
5615
Melinda
melindadocsmith
Sep 23, 2011 4:55 pm
You're welcome!...
5614
djgeisel
Sep 22, 2011 9:53 pm
Thank you that helps alot. It was not our primary code but I did not use the E001-E030 section. I'll check that. Thank you. Diana...
5613
debbie brosnan
thebiller_2000
Sep 22, 2011 8:25 am
I am looking for a CPT Code for the following. Physician performed an EGD and at the GE Junction a polyp was discovered. Attempts were made to remove...
5612
Melinda
melindadocsmith
Sep 21, 2011 4:40 pm
Diana, did you use it as your primary diagnosis code? Also, if you look in the ICD-9 book it says to use an additional code E001-E030, which states what...
5611
djgeisel
Sep 20, 2011 8:41 pm
I just got a rejection for DX code E927.2 "Excessive prolonged activity". Has that code been chaged or deleted from the ICD list? How can I check that. I have...
5610
Melinda
melindadocsmith
Sep 20, 2011 4:48 pm
http://www.cms.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp Melinda Brown, CMBS Ins Biller...
5609
muhl4groups@...
muhl4groups
Sep 19, 2011 4:41 pm
I can tell you that medicare no longer acceots consult codes at all you at the very least would need to bill admit/new pt codes and not consult codes. Was pt...
5608
Dr Given
dennisgiven
Sep 19, 2011 4:35 pm
We are trying to get reimbursed for a 2 hour emergency visit with a patient that lead to their hospitalization. Our setting is a psychiatric outpatient...
5607
Melinda
melindadocsmith
Sep 14, 2011 4:41 pm
You need to call the patient and discover what Advantage Plan they were on. I've had patients that have only been on Advantage Plans for like 1 mos & then...
5606
Jana
superclicker58
Sep 14, 2011 4:47 am
Could also be one of the MedAdvantage plans with ODS, BCBS, UHC, for example. ... From: DTru <dtru@...> Subject: Re: [MedicalBillers] ?? To:...
5605
DTru
debratruh
Sep 14, 2011 4:24 am
Medicare Replacement Plan, you need to be in network with that plan to get $$. Usually Secure Horizons ... Many Thanks, Deb Tru Medical Billing, at your...
5604
Jana
superclicker58
Sep 14, 2011 3:43 am
The patient has insurance thru a contracted insurance with Medicare. You will need to bill that insurance. The patient or Medicare should have that...
5603
Halbert
halberts1
Sep 14, 2011 1:00 am
I'm always having trouble with Medicare. This week it's reason code 24 "Payment for charges adjusted. Charges are covered under a capitation agreement/managed...
5602
Michelleynn
muhl4groups
Sep 11, 2011 8:02 pm
please disregard last post. it has been removed and it's owner deleted from group. thanks moderator...
5600
Melinda
melindadocsmith
Sep 6, 2011 5:11 pm
It depends on the patient's supplemental plan. Some do. If Medicare doesn't pay (for example 99397), then the supplement might not pay, as Medicare didn't...
5599
Melinda
melindadocsmith
Sep 6, 2011 5:03 pm
You're welcome!...
5598
Halbert
halberts1
Sep 4, 2011 7:31 pm
If the patients have Medicare primary and then a secondary like AARP or BCBS will the secondary still pay for the G codes?? ________________________________ ...
5597
Halbert
halberts1
Sep 3, 2011 2:26 pm
Thanks, this was the G codes I was referring to. Our office hasn't started using them yet, I think it's time to implement them! ...
