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Nurse visit usage crackdown key part of April CCI changes

Be careful when billing a nurse E/M visit (99211) along with a venipuncture blood draw (36415) or EKGs (93000-93010) starting April 1. All of these code pairs are new CCI edits subject to a bundling denial of the nurse visit, though CCI will allow you to use a modifier to bypass the edit. These services would typically not be paid unless the nurse visit was for something other than the EKG or the blood draw. If they are for the same service, it would be considered to be double-billing. He...

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MACs may change the way electronic payments are issued, processed

Medicare already required its Medicare Administrative Contractors to pay you via electronic funds transfer (EFT) in most instances. But a recent policy change that requires all private insurance plans to offer EFT may result in tweaks to how the MACs pay as well. In transmittal 135 to its One-Time Notifications Manual, CMS instructed the MACs to follow the same standard EFT payments required of private payers under the CAQH CORE EFT/ERA Operating Rules that take effect July 7. Ultimately,...

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Have Some Extra Cash You'd like to Send to the Government?

No it isn’t tax time. But failing to follow Medicare rules when submitting claims could result in a paycheck for Uncle Sam. In fact, you could have to return money that you've already collected from the government. I know three practices that have done that this year, and all for the same reason. What was the reason? Billing for student services. What kind of students? Nurse practitioner and physician assistant students. Students are not licensed and enrolled in Medicare or in any other ...

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ICD-10 Session 8 - Chapter Three
Nancy Maguire
CMS: Lot of errors billing psychotherapy services when E/M visit is involved
Scott Kraft
ICD-10 Session 9 - Chapter Four - Endocrine, Nutritional and Metabolic Disorders
Nancy Maguire
Consult Documentation Guidelines
Jeannie Cagle, BSN, RN, CPC
ICD-10 Session 10 - Chapter Five - Mental and Behavioral Disorders
Nancy Maguire




Its urgent please advise how to bill 99214 and J2790 injection. Do i need to add NDC number for J2790 how can i add in LYTEC
by Mchu
Mon, Oct/20/2014 01:41PM
re: neurological or neuromuscular coding question
by lkwilliams
Mon, Oct/20/2014 12:07PM
neurological or neuromuscular coding question
by hassan
Mon, Oct/20/2014 01:43AM
re: Medical Billing and Coding Classes
by auntclaud
Sat, Oct/18/2014 05:28PM
Medical Billing and Coding Classes
by randa78
Sat, Oct/18/2014 01:32PM
CPT® for resection hypertrophic patella facet need help with code
by SoMountain
Fri, Oct/17/2014 12:32PM

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