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Bookmark or Share- Telehealth 2025: The Final Rule - AAPC Knowledge CenterMedicare 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.
- Wiki - 36415 denials | Medical Billing and Coding Forum - AAPCMy 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?
- Aetna E&M Policy | Medical Billing and Coding Forum - AAPCNow, 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)
- 99221-99223 denials | Medical Billing and Coding Forum - AAPCWe had a claim for 99222 that was denied by Aetna since another provider had billed for it first. We are the attending physician (and was the one who asked for a consult with the other provider) so I appended the modifier -AI, sent in the corrected claim with reconsideration form but they still denied it.
- Wiki G0180 equivalent for commercial insurances - AAPCLooking for the advice regarding: What code should I use for signing/filling out the Home Health Certification and Plan of care when billing commercial insurance (BCBS, UHC, Aetna)? For Medicare we use G0180 (our providers are hospitalist so they sign the initial certifications only). Thank you...
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