Recent Posts

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81
Billing / Re: Collection Agency Recommendations
« Last post by Michele on February 07, 2018, 08:06:25 PM »
We have tried several different avenues for collections.  The best we have every had by far is working with Transworld.  They are a national company.  The rep we use is Dick Neary.  You can reach him at dick.neary@transworldsystems.com or 941-350-9918.  We do not get anything for referring people, they are just really good so we refer.  But tell him we sent you, he does like to hear where you got his info from.  They have a different approach to collections and it is VERY effective.
82
Billing / Billing CPT 90837 with add on code 90863
« Last post by Anastajia on February 07, 2018, 07:20:44 PM »
Help Help...

We have a prescribing psychologist in our office for years we billed BCBS (NM) cpt 90837 with add on code 90863.
They had paid just fine until January 2018 they reduced the payment amount on the add on code 90863 significantly.
Does anyone know of any changes?
Does any one out there bill these 2 codes, if so how are you billing them adding a modifier or anything?

Thanks
83
General Questions / Medicare Modifier Help, Please...FY, TC specifically
« Last post by PippiT on February 07, 2018, 01:40:21 PM »
I think I'm having comprehension problems, can someone please tell me if I understand correctly? (links will be provided)

I have a claim that was separated to expedite handling and one CPT code was denied as being unprocessable, invalid combinations of modifiers, procedure code inconsistent with modifier used or required modifier is missing.

This is the rejected code:

73630, RT, FY, TC - Google is telling me that FY needs to be the primary modifier.

This part of the claim is still in process:
99213
73630, 26, RT

I googled sequence of modifiers and found this: https://www.supercoder.com/my-ask-an-expert/topic/new-fy-modifier-for-radiology

Informational or statistical modifiers (e.g., any modifier not classified as a payment modifier) are sequenced after payment modifiers, if multiple modifiers apply. If multiple informational/statistical modifiers apply, you may sequence them in any order (as long as they are sequenced after any payment modifiers).

Now, as per above scenario, modifiers LT seems to be an informational modifier and FY seems to be payment modifier, so FY should be sequenced first. but what about TC? I'm really confused on the TC and if it can be billed per the fact sheet here: https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00094625&_afrLoop=1212081827951801#!%40%40%3F_afrLoop%3D1212081827951801%26contentId%3D00094625%26_adf.ctrl-state%3D14786ouc3m_62

Pertinent information is the Professional and TC were both done by the same physician in the office. So does that mean the TC cannot be billed?


84
General Questions / Looking to Acquire Small Billing Companies
« Last post by tallmanusa on February 07, 2018, 11:52:03 AM »
We are a medium sized billing company (300+ clients), nationwide.
We are looking to acquire small billing companies and absorb into our operations.
Our business is nationwide so location is not an issue.
We offer steady payments to you for years to come, for your business.

We are a five star and A+ rated company (By Better Business Bureau).

Please write to  michael@olympusmed.com
85
Good Morning,

We are seeking amazing talented billers with AR experience. We are looking for those who like to obtain maximum dollar for the clients.  We send reviews  to the insurance companies when we feel they have paid incorrectly according to the patients policies.
We are USA medical billing company.
Please feel free send your resume and contact me at pamela@alphaemedbillingsolutions.com
86
Facility Billing / Need Part-time Billlers for AR Calling in Georgia
« Last post by medicalbill404 on February 06, 2018, 06:57:44 PM »
Hello Everyone,

Looking for billers who want some part-time work for assisting in AR calling.
Feel free to contact me at pamela@alphaemedbillingsolutions.com
87
Billing / Re: Cloud Based or Server Based software
« Last post by PMRNC on February 06, 2018, 12:31:37 AM »
How does he expect you to be unbiased when you have only used Medisoft? That's like asking someone to evaluate the pro's and con's of using a Mercedes when they have only drove a toyota. I don't mean any disrespect there but cloud based software's are going to put Medisoft and single side software's to shame in the "pro's" column. I can't think of even one out there that is not superior to Medisoft outside of "cost" and in doing such a practice analysis costs have to be analyzed based on the many features that would override costs. In this case the ends are going to justify the means.

Is it YOU going to assume costs? I'm a billing company and I maintain NO cost for software or clearinghouse as I access the clients software and utilize their systems. Why not let them go with their own choice and maintain costs?
88
General Questions / Medicare
« Last post by t.cassell on February 05, 2018, 02:28:35 PM »
Medicare declined 10061 stating "not medically necessary".  The Dr. billed 99347 (housecall) and 11061.  Can I resubmit claim for just the house call?
89
Billing / shipping code for pharmacy work comp
« Last post by edavis on February 05, 2018, 12:53:50 PM »
We have a mail order pharmacy who sends medications to work comp patients and I want to see if anyone knows the code to charge for shipping. We bill on a HCFA. Thank you for any assistance you can provide.
90
Billing / Collection Agency Recommendations
« Last post by mandaree23 on February 05, 2018, 11:26:34 AM »
I am in the process of looking for a new collection agency for our Orthotics and Prosthetics group.  Does anyone have any recommendations?  I've worked with MPB in the past and would just like other options to look at as well.

Thank you!
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