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  • Wiki - Sub Specialties | Medical Billing and Coding Forum - AAPC
    Hi, What cardiac subspecialties are considered separate specialties for billing purposes? For example, patient seen by Interventional Cardiology and Cardiac Surgery (within same group practice TIN), are separately billable, correct? Are Adult Cardiology, Pediatric Cardiology, EP, and Advanced
  • CPT 64415 and S42. 021A | Medical Billing and Coding Forum - AAPC
    Hello everyone! I really hope this is the right forum to post this question I apologize if it isn't I am still relatively new when it comes to coding but I recently started a job in denials management The job has been a great way to dip my toes in understanding insurance payor policies and CMS guidelines There is this one claim that has me stumped CPT 64415 was denied per CMS policies due
  • 1 Code for 48-Hours? Check Payer for Date - AAPC
    For example, National Government Service's policy for New York states, "For monitoring extending beyond 24 hours, the number of services should be listed as '1' and the date of the service is the date of the hook-up" (www ngsmedicare com NGSMedicare lcd L26409_active_sia htm)
  • Wiki - CMS AWV and EM billing telephone only
    I am being told that we can now bill EM codes and do AWV over the telephone only, that visual no longer is required I have yet to find anything from CMS documenting this is correct-- (supposedly changed in the last few days) Can anyone help shed light on this please?? Links for bonus points!!
  • Dont Just Cover Up Paper Claims Errors : Reader Question - AAPC
    If you make a mistake on a paper claim, your best bet is to start over Don't simply cross out or cover up the mistake with correction fluid
  • Wiki - Coding for chronic conditions | Medical Billing and . . . - AAPC
    If this is your first visit, be sure to check out the FAQ read the forum rules To view all forums, post or create a new thread, you must be an AAPC Member If you are a member and have already registered for member area and forum access, you can log in by clicking here If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or
  • Wiki - Billing Question G0179,G0180,G0181
    G0180 is certification of home health services where G0179 is re-certification of home health services G0181 is Care Plan Oversight that cannot be submitted for the same date of service as the certification or recertification of home services
  • Wiki - Noridian Medicare Telehealth | Medical Billing and Coding . . . - AAPC
    Is modifier 95 still necessary in 2024 for either In-Patient or Out-Patient telehealth services for Noridian?
  • Wiki - E M Tool?? | Medical Billing and Coding Forum - AAPC
    Well, I don't "guess", and I wouldn't trust a tool to make those determinations Our EMR software has this capability, and we don't use it, and the company rep wasn't terribly keen on it either
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