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3 Things You Need to Know about CPT 99490 and the CCM Patient Agreement

Health Insurance Companies Process 1 in 5 Claims Wrong

Tag Archives: Medicare Billing

New Medicare Modifiers XE, XP, XS, XU: Examples of When to Bill Each One

New Medicare Modifiers XE, XP, XS, XU: Examples of When to Bill Each One

January 1, 2015, CMS will officially roll out four new HCPCS modifiers that can be used when billing Medicare claims. Dubbed the –X{EPSU} subset, they may or may not be used instead of modifier 59. This post has a few examples of when you might use each of these new modifiers. Leave a comment on how your office uses the new modifiers. Continue Reading

Yet Another Medicare Influenza Vaccine Q Code: Q2034 Agriflu

Yet Another Medicare Influenza Vaccine Q Code: Q2034 Agriflu

Medicare Flu Shot Code Q2034 In 2012 Medicare came out with another code Q code for billing the influenza vaccine. The code is Q2034 for the flu vaccine under the brand name Agriflu. The effective date of the new code is for claims with the date of service on or after July 1, 2012. Annual Part… Continue Reading

Medicare Billing for a Well Woman – G0101, Q0091, G0438, G0439, 99387 & 99397

Medicare Billing for a Well Woman – G0101, Q0091, G0438, G0439, 99387 & 99397

Medicare Billing for Well Woman Exam Using Codes G0101 and Q0091 and Annual Wellness Visits AWV G0438 and G0439 As we are all aware, Medicare now allows for the Annual Wellness Visit (AWV) G0438 or subsequent AWV G0439, but how does this relate to an annual Well Woman Exam?  IT DOESN’T. An annual Well Woman… Continue Reading

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Disclaimer

The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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