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  • non workers comp modifer | Medical Billing and Coding Forum - AAPC
    out of thousands of coders across the US no one knows what the modifer for Medicare is when a claim is NOT workmans comp or disability insurance related? Someone must know I'm sure I'm not the only one billing Medicare!
  • McKesson Edits | Medical Billing and Coding Forum - AAPC
    Does anyone have any information on the McKesson edits? Are they different from the CCI edits? I know Medicare and some insurance companies follow CCI, but not all If so, where do you get information on McKesson or do they create specific edits for each client? Thanks!
  • Auvelity: New Oral Fast Acting FDA Approved Antidepressant
    On Aug 19, 2022 Axsome Therapeutics announced the FDA Approval of Auvelity, as the first and Only Oral NMDA Receptor Antagonist for the treatment of Major Depressive Disorder in adults We have summarized this FDA-approved medication in the following Psychiatry Education Forum Academy Updates:
  • Aetna Medicare Denials LCD for office visit 99213 - AAPC
    You can view these edits on our Availity provider portal * We are also expanding our claim edits for E M services to our Medicare line of business with this update This expansion enhances our prepayment claims editing processes for coding policy rules related to correct coding of E M of levels of care for our Medicare members
  • cpt code 90384 denied | Medical Billing and Coding Forum - AAPC
    I went into Availity, under "More", and Research Procedure Code Edits, and entered 90384 and 96372, and 90384 was disallowed I then used J2790 Rho (D) and 96372 for the admin and both lines were allowed
  • 90471 is getting denied | Medical Billing and Coding Forum - AAPC
    Good Day I would like to know how to properly report codes for 90471 for immunization Patient went to outpatient office because of chest pain It is then confirmed by the doctor that the chest pain is a contusion front wall of thorax Patient was given ibuprofen oral for the pain Patient
  • 2410 Loop Rejection | Medical Billing and Coding Forum - AAPC
    Anytime I code a J3301 - Kenalog - injection with injection CPT it kicks back in the system stating a 2410 loop This is the rejection: 06 15 2022 view less Payer Rejected J3301 H MISSING OR INVALID INFORMATION ADDITIONAL DETAILS WILL FOLLOW IF AVAILABLE (J3301) Missing or invalid
  • Adjustment Reason Code 107 | Medical Billing and Coding Forum - AAPC
    I am so confused on what this ARC means This was sent back to me by Blue Care Network (part of BCBS of MI) I billed a TCM (99496) and Medication Reconciliation (1111F) The claim was processed without payment due the following: CO-107: The related or qualifying claim service was not
  • AAPC - AAPC
    What is the Codify by AAPC refund policy? Will my favorites and notes be transferred to Codify by AAPC? Do I have the ability to look at past years coding data? What customizations does Codify by AAPC offer? What happens if you access Codify by AAPC from someone else's account? Does Codify by AAPC provide any CEUs? Does Codify support both inpatient and outpatient codes? Does Codify by AAPC
  • ER - Coding knee immobilizer - AAPC
    Can we code knee immobilizer in the ER and if yes - what documentation should I be looking at? Does the physician have to document that he she checked it or like a splint that the physician has to document the post placement evaluation Thanks!





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