Recent Posts

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General Questions / Re: Dental Billing
« Last post by Michele on Today at 09:43:06 AM »
I do have dental billing experience.  Like Sriran_Sub suggested it is best to post the actual question so that someone can answer.
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Insurance Payments / Re: BCBS DME Bilateral Billing
« Last post by kristin on January 17, 2018, 07:24:56 PM »
I would bill as follows:

L1907 LT
L1907 RT

L1970 LT
L1970 RT

Your particular BCBS may require KX modifiers, in which case they would go on each line before the LT and RT modifiers. Also keep in mind that they may have a MUE of 1 for these codes, in which case you can't bill more than one on a particular DOS...but that is usually not the case with these codes. Some patients do require them for both ankles/feet at once.
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Insurance Payments / BCBS DME Bilateral Billing
« Last post by mandaree23 on January 17, 2018, 10:44:32 AM »
I am working some old appeals and need some help on billing to BCBS.  It appears that the claims were being billed to BCBS for L1907 and L1970.  Our previous billing company was sending them on one line item with RT and LT modifiers and 2 units.  They are only paying one unit with remark code N640 "Exceeds number/frequency approved/allowed within time frame."  Does anyone have any suggestions on billing these?

Thank you
4
New! / Re: Medicare - CO151 - Payment adjusted because the payer deems the information
« Last post by tperian on January 17, 2018, 09:30:43 AM »
It does.  thank you so much for your help.  Have a great day.
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General Questions / Re: Dental Billing
« Last post by Sriram_Sub on January 17, 2018, 09:15:16 AM »
Hi Billingbilling,

I don't have experience with Dental Billing. So unfortunately, I could not help. But I can see that the post has been read 12 times but no response yet from anyone in spite of the fact that we have a lot of experts in the group. So, I would think you should hit it straight to get good help on this forum.

Please post the actual question you have about dental billing so that people can share their ideas. Or if you are offering dental billing business to people in this forum, please mention that. I don't think you can get good help by asking if anyone has experience with Dental billing. JMHO.

Good luck.
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For the current charge, you may change the CPT and ICD code if the chart notes (by any chance) has been documented with some diagnosis other than Z00.00 or so. This way, we may justify that the patient was given a consultation for a problem and that it was not a AWV.

For your future AWV charges, I would suggest to have their eligibility verified so that the reps can advise if the patient is eligible to get a AWV consultation given for the year. Hope this helps.
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General Questions / Dental Billing
« Last post by Billingbilling on January 16, 2018, 09:26:41 AM »
Anyone have experience with dental practice billing?
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New! / Re: Medicare - CO151 - Payment adjusted because the payer deems the information
« Last post by tperian on January 16, 2018, 08:28:12 AM »
Thank you for your help.  Since the HPI states that the patient was here for his annual wellness check, i would not be able to re-code this visit as an E&M.  Correct?
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Medical Billing Software Reviews / Re: Suggestions for Billing Software
« Last post by Michele on January 16, 2018, 08:12:11 AM »
That sounds like a nice feature.  I have not used a software with that feature.
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If it is a scheduled appointment, you may verify benefits with the payer and see if your plan of Annual wellness care would be covered. By then, you would know if someone has already billed for that service during the same year.
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