BILLING AND CLAIMS

Discussion List

• Line Item Audits

  12 views 1 comment 0 points Most recent by RHirsch December 2025
• Manufacturer Rebates and NTAP Payment

  20 views 1 comment 0 points Most recent by goodje December 2025
• Skin Substitutes used as implants

  10 views 0 comments 0 points Started by kay.larsen@ah.org November 2025
• Billing for Outsourced Labs

  14 views 0 comments 0 points Started by Randreas1 November 2025
• C1776

  219 views 2 comments 0 points Most recent by CZNANIEC October 2025
• Observation Hours >48

  51 views 1 comment 0 points Most recent by RHirsch September 2025
• Billing for Non HCPCS Drug Charges

  29 views 0 comments 0 points Started by tbrown8 July 2025
• Mobile Stroke Unit- Ambulance billing VS HOPD/telehealth

  38 views 0 comments 0 points Started by goodje April 2025
• Billing for Donor Lymphocyte Infusion related services

  241 views 2 comments 0 points Most recent by jugnashah April 2025
• PIN Services-G0023, G0024

  78 views 1 comment 0 points Most recent by jugnashah April 2025
• "Re-occurring" or "Series" Account Billing

  374 views 3 comments 0 points Most recent by jugnashah April 2025
• C1761- Cath, trans intra litho/coro

  251 views 2 comments 0 points Most recent by slgincconsulting@aol.com January 2025
• Lab Date of service question

  247 views 3 comments 0 points Most recent by slgincconsulting@aol.com January 2025
• CAPD/CCPD provided to a hospital outpatient, by a facility with an ESRD certified dialysis clinic

  174 views 2 comments 0 points Most recent by goodje January 2025
• Mobile Clinics (Cancer Screening) - more than 35 miles from hospital

  59 views 0 comments 0 points Started by goodje January 2025
• Missing Device for CPT 21215?

  300 views 2 comments 0 points Most recent by kay.larsen@ah.org November 2024
• Hospital at Home - Is 12X bill type allowed?

  166 views 1 comment 0 points Most recent by Andrew.Reiten August 2024
• One Legacy Billing (OPO)

  201 views 1 comment 0 points Most recent by kay.larsen@ah.org August 2024
• Cardiac Implants on Inpatient Part B

  606 views 5 comments 0 points Most recent by slgincconsulting@aol.com July 2024
• Billing for Flu Vaccines for Intraoperative Patients

  78 views 0 comments 0 points Started by krbussie19@gmail.com May 2024
• Billing Supplies on a 1500

  352 views 2 comments 0 points Most recent by deborah.merwin@nyuhs.org February 2024
• L & D Observation Leveling (E&M)

  2.4K views 9 comments 0 points Most recent by kay.larsen@ah.org February 2024
• OB Triage Coding and Billing Guidelines

  2.1K views 4 comments 0 points Most recent by kay.larsen@ah.org February 2024
• Diagnosis codes for pre-op testing

  264 views 1 comment 0 points Most recent by RHirsch November 2023
• Facility Charges for 88321-88325

  480 views 3 comments 0 points Most recent by Andrew.Reiten June 2023
• Acupuncture denials for "frequency"

  191 views 1 comment 0 points Most recent by tobinc2 May 2023
• Room and board question

  951 views 6 comments 0 points Most recent by trosi May 2023
• H&P prior to Colonoscopy

  192 views 0 comments 0 points Started by amodlin@vmh.org April 2023
• Professional billing for 76492

  258 views 1 comment 0 points Most recent by dwilliamsrsi March 2023
• Blood Transfusion during Surgery

  422 views 1 comment 0 points Most recent by dwilliamsrsi March 2023