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  • Medical Billing and Coding Forum - AAPC
    If this is your first visit, be sure to check out the FAQ read the forum rules To view all forums, post or create a new thread, you must be an AAPC Member If you are a member and have already registered for member area and forum access, you can log in by clicking here If you've forgotten your username or password use our password reminder tool To start viewing messages, select the forum
  • Vaccination Administrations in Pediatric Practice - AAPC
    Let’s look first at 90471-90474, which are used when a provider does not counsel the patient on the vaccines administered CPT® 90471 and +90472 are for vaccines administered via intramuscular injection, which is the most common route of administration; 90473 and +90474 are for vaccines administered via an intranasal or oral route Multiple Vaccine Administrations Codes 90471 and 90473 are
  • IPPE or AWE? Navigate Yearly Medicare Visits - AAPC
    Amanda Turner, CPC, CPB, CPMA, CRC, is the manager, appeals operations at Zelis Healthcare Her experience includes managing audits and provider education Turner holds a Bachelor of Arts in Professional Writing from Penn State University and is studying at Temple University for a Master of Business Administration in Innovation Management
  • Understanding the Multiple Procedures Rule - AAPC
    The Medicare multiple procedures rule ensures a healthcare provider’s work is paid only one time, per session
  • Wiki - Telehealth Billing after PHE and changes to place of . . . - AAPC
    Oh and my other pet peeve is Zelis putting you back on credit card payments after you have opted for paper checks if you RUN ONE cc pymt they automatically sign you up and the other day someone told me if there is a new payer they may put you back on cc payments I think it is ridiculous that the insurance companies can put the administrative
  • Zelis Choice adjustment | Medical Billing and Coding Forum - AAPC
    The claim was processed and allowed $$$$$ with a "Zelis Choice Adjustment" of $$$$$$, resulting in a payment of $$$$$ However, we have not contracted for a "Zelis Choice Adjustment" for XXXXXXX insurance company, rendering this adjustment unauthorized Please see prior claims for this patient of MM DD YYYY (eob attached) for correct processing
  • Wiki - Humana charging $5. 00 fee per paper check to provider
    I am sick of Zelis V pay And now this new plot to charge providers for issuing paper checks Problem is last time I signed up one of my providers for EFT Humana took 4-5 months to process the EFT request The CSR told me that the reason for the $5 charge was for the envelope I don't think the cost of the envelope is $5 00 Anyone else had
  • Third-party Pricing Companies Can Help with Out-of-Network Costs
    Multiplan, Zelis, MARS, Viant, Three Rivers, HRGI, and Data Isight are just some of the companies that contract with commercial carriers to reduce out-of-network costs They accomplish this in several ways: Shadow networks These are networks that solicit members from both the provider side and the insurance carrier side




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