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- Wiki - Aetna Medicare Denials LCD for office visit 99213
Has anyone had denials for LCD on a office visit for 99213 from Aetna Medicare? This just started Oct 1, 2022 so I'm assuming new fiscal years Claims are being denied for LCD on an office visit with psychiatric DX codes, (these are not dementia or cognitive impairment codes) Medicare
- Medical Coding - Medical Billing - Medical Auditing - AAPC
The nation's largest medical coding training and certification association for medical coders and medical coding jobs
- Auvelity: New Oral Fast Acting FDA Approved Antidepressant
On Aug 19, 2022 Axsome Therapeutics announced the FDA Approval of Auvelity, as the first and Only Oral NMDA Receptor Antagonist for the treatment of Major Depressive Disorder in adults We have summarized this FDA-approved medication in the following Psychiatry Education Forum Academy Updates:
- Fee Schedule for BCBS | Medical Billing and Coding Forum - AAPC
I access our Anthem (our local BCBS) fee schedule in Availity through Claims Payments > Fee Scheduling Listing > Additional Fee Schedules and it's listed there
- Wiki - patient cost estimator availity aetna - AAPC
Has anyone found an alternative to get patient cost estimates from Aetna that doesnt requiring calling them directly? I work for a behavioral health practice and we have obtain estimates on neurological testing Availity's patient cost estimator tool has not worked for a long time Availity support feature has not been able to to support us with this issue I am just tryimg to find are there
- Wiki - Healthy Blue of NC (Medicaid Replacement - HMO)
Our new Managed Medicaid Healthy Blue claims are being denied looking for the original Medicaid Number Availity seems to need this number for any inquiries All of our registration is online and the patients do not know the original Medicaid number Any ideas on how to obtain the original numbers which are needed on the claims Thanks
- Adjustment Reason Code 107 | Medical Billing and Coding Forum - AAPC
I am so confused on what this ARC means This was sent back to me by Blue Care Network (part of BCBS of MI) I billed a TCM (99496) and Medication Reconciliation (1111F) The claim was processed without payment due the following: CO-107: The related or qualifying claim service was not
- Wiki - Payer ID 54704 | Medical Billing and Coding Forum - AAPC
We have not changed anything in our submission process which is done via a billing vendor who uses the Availity clearinghouse Somewhere in this process the claims are not being routed to the correct payer ID, 54704, and are instead going out with a header of ISA08 So every single claim is being rejected as being sent to the wrong payer
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