|
- Wiki - ZELIS HELP! | Medical Billing and Coding Forum - AAPC
Hi, so I am getting increasingly frustrated with Zelis coding denials I keep getting "Procedure not compatible with diagnosis" denials For example with closure gastrostomy surgery 43870, we are getting a denial for dx code K31 6 (fistula of stomach duodenum) I have been using these codes
- 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
- zelis | Medical Billing and Coding Forum - AAPC
Wiki ZELIS HELP! Hi, so I am getting increasingly frustrated with Zelis coding denials I keep getting "Procedure not compatible with diagnosis" denials For example with closure gastrostomy surgery 43870, we are getting a denial for dx code K31 6 (fistula of stomach duodenum) I have been using these codes
- 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
- 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
- Don’t Let Credit Card Fees Devour Your Medical Practice’s Profits
Reduce the fees that hurt providers’ and patients’ finances With the advent of online patient portals and the migration to cashless electronic Reduce the credit card fees that hurt providers’ and patients’ finances
- Understanding the Multiple Procedures Rule - AAPC
The Medicare multiple procedures rule ensures a healthcare provider’s work is paid only one time, per session
|
|
|