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Aetna查看　Aetna　在百度字典中的解释百度英翻中〔查看〕
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  • aetna | Medical Billing and Coding Forum - AAPC
    Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants I coded 19342 with modifier 50 and aetna only paid for one side, do i need to bill with rt and lt modifiers to receive proper reimbursement? Bcbs pays with modifier 50 We don't have many aetna
  • Telehealth 2025: The Final Rule - AAPC Knowledge Center
    Medicare 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
  • AETNA and G2211 | Medical Billing and Coding Forum - AAPC
    I was also researching as the big commercial insurances have and or are in the process of adding policies specific to G2211 - Here is what I located from Aetna- Hope this helps
  • Aetna E M Policy | Medical Billing and Coding Forum - AAPC
    Now, 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)
  • Billing Medicare for Telehealth Services in 2024 - AAPC
    Through Dec 31, 2024, there are no geographic restrictions for patients or providers For Medicare, use the place of service code that identifies where the patient is located: POS 02 when the patient is not at home or POS 10 if the telehealth is provided in the patient’s home
  • Wiki Aetna downcoding of E M claims - AAPC
    We were stuck in their "down coding program" From what I understood, after talking with many Aetna reps, they put some docs in this program as they are flagged for over coding (even though they don't review the record before making the decision) and it's almost impossible to get them out of the program We found success appealing with notes
  • Wiki - 76830 and 76856 | Medical Billing and Coding Forum - AAPC
    per Encoder these 2 codes are not bundled The report combines the findings into one but is clearly two approaches The insurance I am having an issue with is Aetna They are inconsistent however always bundle one into the other and only pay for one-sometimes the transvag and sometimes the pelvic ultrasound
  • CPT® Code 64454 - AAPC
    CPT Code 64454, Introduction Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System, Introduction Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves - Codify by AAPC
  • Wiki CPT 81003 inclusvie denieal from Aetna. - AAPC
    Aetna insurance frequently denying CPT 81003 or 81002 charges as inclusive with E M service (99201-99395) Initially I tried with modifier “25” to E M, after that I even tried with an appeal, but no use, it denied as inclusive again In this case I need clarification that, is there any payer policy in Aetna website regarding this
  • INCIDENTAL DENIALS | Medical Billing and Coding Forum - AAPC
    If you search the forums for Aetna and 69210 you'll find multiple threads reporting issues with Aetna denying 69210 with an E M billed with modifer 25 This seems to be some type of policy Aetna has instituted in the last year or so I don't think that anything has changed and Aetna is still denying the 69210 billed with an E M with modifier 25





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