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Facility Billing / Re: Medicare Billing Question
« Last post by avehildebrand on June 18, 2018, 09:18:34 AM »
Thank you Kristen!  :)
Facility Billing / Re: Medicare Billing Question
« Last post by kristin on June 15, 2018, 02:18:55 PM »
Yes, the PT has to be credentialed with Medicare, since she is the rendering provider.
General Questions / Re: 200+ Splinter & Thorn Removal Podiatry
« Last post by kristin on June 15, 2018, 02:17:14 PM »
51 modifiers are added by insurance companies when they process claims, so I wouldn't use that. If you are indicating that each FB removal is in a different site/area, you would use 59 or one of the X modifiers. Be aware that depending on the insurance, you could run into a MUE edit where they only allow so many units of 10120 to be billed on one DOS. In which case you would have to appeal with notes.
Billing / New York Work Comp
« Last post by stellerdobes on June 15, 2018, 12:15:26 PM »
I am in VA and bill for a primary care here in VA so I am use to billing work comp.  My question is how different is billing work comp in New York? 

I have been offered a job with a clinic in New York to do their wc billing only.  Would anyone be willing to let me pick your brain on the difference?

With the wc in VA we print it on a hcfa 1500 send office note to insurance and thats it.  If Im not mistaking with NY don't you have to send something to the state also?  IS this a difficult process?  They have about 20-30 wc pts a week.

General Questions / 200+ Splinter & Thorn Removal Podiatry
« Last post by EDREIBELBIS on June 15, 2018, 08:16:06 AM »
Hello all!

My Doc just pulled me back to discuss a case we have coming in today, patient was seen yesterday and it was found that he has roughly 200+ splinters/thorns in his feet. He is coming back in today for a complete forgien body removal.

Can I bill these individually for each removal? These are subcutaneous and not into the muscle so I feel that the 10120 will be the proper code to use. However, I'm no clear on billing for multiple removals. What I have found suggests that I should bill the first removal and then all subsequent w/ a 51 mod. i.e. 10120, 10120 (x10) 51

Any guidance would be helpful, it is anticipated that this will be a very long process and we want to make sure we can get reimbursed for the work.

Thanks in advance for your help!

Thank You everyone. Good to know I won't be making cold calls forever. Lord knows I've done enough of those to fill most NFL stadiums! :)
Facility Billing / Medicare Billing Question
« Last post by avehildebrand on June 13, 2018, 03:29:51 PM »
Hello everyone!

To be honest I am super excited to join this! I work for a Physical Therapy practice and we just got contracted with Medicare and all of our claims are getting denied (CO & B7). Although our group is contracted with Medicare our PT is not. Is this going to cause issues when billing? On the CMS 1500 form box J it puts her individual NPI not the group.

This Medicare billing is so confusing to me :( Someone please help.

Thank you!

Starting Your Own Medical Billing Business / Re: Marketing when you don't have time
« Last post by PMRNC on June 12, 2018, 04:51:01 PM »
I agree with Michele, when you reach that point you can pretty much stop many of the direct mail marketing and just try to keep up with website, social media, blog and current client interaction, as your clients are probably becoming your bigger source of referrals.

Usually when you reach that point you start to receive referrals.  Referrals is the best form of marketing by far.  For us that was the case for the most part.  Occasionally throughout the years we would do a few marketing pushes but once you get going referrals work best.  Sometimes we let our providers know we are looking for a new account and ask if they know anyone that might benefit from our service.  Many times they do but don't think of it until you ask. 

Glad to hear your marketing is working!
Coding / Re: 90460/90461
« Last post by Michele on June 12, 2018, 06:50:22 AM »
I have never billed more than one vaccination on a billing but I believe the example below is correct based on the description of the 90460.
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