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2008
  • December: Denials based on payers not recognizing modifiers and other codes
  • November: Vaccine counseling: when to use preventive medicine service codes and when to use immunization administration codes
  • July: Advance Beneficiary Notice of Noncoverage
  • May: Using codes 99050-99060 for after hours E/M services
  • March: Understanding and negotiating payer contracts to avoid denials



2007
  • October: Bundling service with evaluation and management for straight urine catheterization
  • September: Denial management and negotiation for hearing screening
  • June: Venipuncture or capillary stick bundled with laboratory or E/M services
  • May: Advocating for correct vision and hearing screening codes
  • March: The nuts and bolts of reporting telephone care services



2006
  • October: Denial of handling fee 99000 when reported with other codes
  • June: Denials when billing for ADD (code 314.00) and ADHD (code 314.01)
  • May: Appealing payer downcoding based on diagnosis
  • March: Appealing denials related to preventive medicine
  • January: Appealing denials of concurrent care



2005
  • December: Appealing denials when using codes 31500, 36510, and 36660
  • Winter: Reporting a well and sick visit on the same day
  • November: Steps for appealing denials
  • October: Modifier 25 for vaccines
  • September: Difficulties with billing carriers for services relating to ADD and ADHD
  • Spring: Discharge codes 99238-99239



2003
  • Spring: Don't always take the word of major carriers



2002
  • Winter: 99173, vision screening
  • Summer: Getting paid for newborn circumcision
  • Spring: The importance of appealing denials



2001
  • Summer: Negotiating with third party payers
  • Spring: Modifiers 60 and 25





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