Oct 26, 2022 · 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 …

Mar 26, 2025 · Is anyone else noticing Aetna E/M claims being randomly downcoded without any justification? We have had many 99214 downcoded to 99213, even though the MDM …

Jun 6, 2023 · 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. …

Nov 20, 2024 · I've been getting claim denials with the following remark codes - 16 - claim/service lacks information which is needed for adjudication. Claim submitted like we usually do. On the …

Jun 19, 2025 · Good Day. I would like to know how to properly report codes for 90471 for immunization. Patient went to outpatient office because of chest pain. It is then confirmed by …

May 30, 2024 · 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 …

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 …

Feb 6, 2024 · 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). …

Mar 1, 2023 · (This is for a Family Practice - Professional Billing) As of Jan 1, 2023 the AMA Deleted all Assisted Living CPT codes. Per mlnMATTERS MM13004 - We are to bill Assisted …

Jan 10, 2024 · I am very confused why all of a sudden we are seeing denials using place of service 11 with modifier 95 and now they want us to use POS 10 for telehealth in patient's …