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  • Noridian Identifies Top 5 Claim Submission Errors - AAPC
    Want to increase the number of claims that successfully complete processing and enhance a positive cash flow? Heed Noridian Administrative Services’ (NAS) advice The Medicare administrative contractor (B MAC) has identified its top five denials for the months of July, August, and September and offers solutions and resources 1
  • Wiki Noridian - Benign Lesion Removal LCD - AAPC
    Coding medical necessity for benign skin lesions for Medicare LCD L34233 (Noridian) Group 2 - List III codes Medicare will consider the removal of benign skin lesions as medically necessary, and not cosmetic, if one or more of the following conditions is present and clearly documented in the medical record: A
  • Wiki Bill Type Guide Description for UB04s - AAPC
    If you're just looking to learn as a reference, Noridian has a good table for the type of bill code structure You can use the table to see how a TOB code is built For example, an inpatient hospital claim for admit through discharge would be a TOB 111 This would break down as follows: 1 - hospital 1- inpatient 1 - admit through discharge
  • Wiki Noridian Medicare Telehealth - AAPC
    "CMS indicated in the 2024 Physician Fee Schedule Final Rule that billing with the modifier 95 would be allowed to continue when “the clinician is in the hospital and the patient is in the home, as well as for outpatient therapy services furnished via telehealth by PT, OT, or SLP ”
  • Unlisted But Not Unpaid - AAPC Knowledge Center
    Noridian Healthcare Solutions has the following on their Medicare Part A website: An unlisted procedure code must have a concise description of the service or procedure rendered in Form locator 80 on the CMS-1450 claim form or electronic equivalent in the service line description
  • A9500 Noridian denials | Medical Billing and Coding Forum - AAPC
    This code is being denied when billing lexiscan-78452, 93015 and A9500- I looked up Noridian website and it states per invoice
  • Scrap 96402 For Lupron Injections in Noridian Patients : News . . . - AAPC
    New way: "It looks like Noridian (MAC) will suggest the use of the injection code 96372 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) instead of 96402 for GNRH analogues such as Lupron, Zoladex, and Trelstar," says Michael A Ferragamo, MD, FACS, clinical assistant professor of
  • Wiki Sequencing Modifiers 80 AS - AAPC
    Greetings! Our practice has just learned about a 'new" rule by CMS about appending both modifier 80 (81 82) and AS when a PA-C RNFA, etc assist at surgery We are Noridian We have only appended modifier-AS when our PA-C assisted the surgeon, but have had no denials for this on our claims




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