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Feb 12, 2025 · Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants. I coded 19342 with modifier 50 and aetna only paid for one side, do i need to bill with rt and lt modifiers to receive proper reimbursement?
Nov 8, 2024 · Medicare reinstates certain pre-pandemic telehealth policies. COVID-19 public health emergency waivers that applied to Medicare Part B policies for The 2025 PFS final rule is the final word for telehealth services effective Jan. 1, 2025, unless Congress acts.
Jan 15, 2025 · Rulemaking and lawmaking keep telemedicine a viable solution for the masses, for now. Now that the dust has settled on the American Relief Act, 2025, Medicare policy for telehealth services is extended through March 31, but then what?
May 7, 2014 · Hi! I will be billing for an NP-owned practice, which is composed of two NP's and a physician. Aetna will not credential the NP's because they are not employees of the physician. (The physician is credentialed with Aetna.) If one of the NP's …
May 24, 2019 · Now, I couldn't find Aetna's E/M policy, but I would be very surprised if they decided to deviate too much on that sense. Possible reasons for the denial: -The patient was seen by the same provider at a previous practice, within 3 years -The patient was seen by a similar credentialed provider from the same practice (fairly common denial reason)
Feb 3, 2025 · Providers and patients both reap the benefits when this add-on code is used correctly. HCPCS Level II add-on code G2211 recognizes the ongoing Providers and patients both reap the benefits when this add-on code is used correctly.
Jul 1, 2014 · Aetna has made a nationwide policy decision for chiropractic reimbursement, which states that when manual therapy (97140 Manual therapy techniques, one or more regions, each 15 minutes) is performed on the same date of service (DOS) as a chiropractic manipulative treatment (98940-98943), the manual therapy will be denied, automatically.
Jul 15, 2024 · I have heard that AETNA will no longer reimburse for the G2211 code, but I can't find any specific policy bulletin about this. Has anyone else heard this and can point me to the specific policy? Thanks.
Nov 11, 2017 · Hi all, Aetna insurance frequently denying CPT 81003 or 81002 charges as inclusive with E&M service (99201-99395). Initially I tried with modifier “25” to E&M, after that I even tried with an appeal, but no use, it denied as inclusive again. In …
Oct 26, 2012 · My claims for Cigna and Aetna are being denied for the 36415 when performed with an office visit...the lab bills the lab tests, we bill the venipuncture. Is anyone out there getting paid for the 36415 for these insurance companies?
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