vendredi 14 août 2020

ORIF distal radius fracture malunion

Hi everyone! I'm coding a "ORIF distal radius fracture malunion." Would this be 25400 (repair radius malunion) or 25607 (ORIF extra-articular radius fracture)? There are also no NCCI edits for these two codes, so could they theoretically be billed together?

Thanks :)


* This article was originally published here

jeudi 13 août 2020

92134 Denial

Our office is getting denied for CPT 92134 the only insurance that is denying this is Humana Medicare Adv. I have looked at the LCA's and LCD's to make sure the dx code I am linking to the CPT code is payable and they still continue to deny. Is anyone else having this issue? I'm not sure how to get them to pay?


* This article was originally published here

mercredi 12 août 2020

Copays for claims denied for timely filing?

I have searched and cannot find a straight answer on this. Any help would be greatly appreciated. I have worked in places that do both but I am hoping to find documentation that clearly states what is correct:
When a provider collects a copay at the time of service but the claim isn't submitted within the timely filing deadlines and gets denied; can the provider keep the copay or does it have to be refunded (or remain a credit on the patient's account)?
For providers that currently keep...

Copays for claims denied for timely filing?


* This article was originally published here

Removal of voice prosthesis

Procedure(s) Performed: Debulking Granulation ball and removal of indwelling voice prosthesis

Diagnosis: airway obstruction due to granulation tissue mass and indwelling voice prostheses partial extrusion

Description of Procedure(s):
Pt to OR - Positioned and draped - time outs performed - Pt s/p laryngectomy stomal airway 85% obstructed with extruding prostheses and granuloma ball - With trach collar an iv sedation and lidocaine in airway - the granulation ball and prosthesis was removed...

Removal of voice prosthesis


* This article was originally published here

mardi 11 août 2020

Data Points/Independent Vis/Test billed profee on same day

Hello from California :cool:

Cardiology MD billed: 99214 + 93000.

List of lab results in side-header of clinic note - no mention in note of "I reviewed...".
Previously performed echo reviewed in chart, but not documented whether this MD performed/billed that previous echo or not. (would query)
EKG performed in clinic that day, read and billed by same MD.

4+ stable chronic diagnoses addressed, and nothing ordered other than the EKG which was performed and billed by MD same DOS, with...

Data Points/Independent Vis/Test billed profee on same day


* This article was originally published here

dimanche 9 août 2020

31020?

I've attached a redacted operative report, if someone can tell me if you would use 31020 for the underlined area on page 2. Thank you!


* This article was originally published here

samedi 8 août 2020