Forum - Questions & Answers

Sep 3rd, 2012 - Jan 1 

Protime 85610QW and Medicare

All of my profees are being paid by Medicare but the 85610 is not. I have always been paid in the past with the right dx along with 99211 and 85610QW but Medicare has quit paying for the 85610 line item. HELP!!!!!

Sep 3rd, 2012 - nmaguire   2,606 

re: Protime 85610QW and Medicare

Why are you billing code 99211?

Sep 3rd, 2012 - Jan 1 

re: Protime 85610QW and Medicare

I bill the Nursing Visit and the Protime together. Up until mid 2012 they flew through
MCR is splitting the line items and the Protime is now simply falling off the grid. No rejection ode no nothing.

Sep 3rd, 2012 - nmaguire   2,606 

re: Protime 85610QW and Medicare

The 99211 should not be billed unless there is an abnormal result and doctor changes order



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