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- 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 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)
- Bill G2211 With Confidence (and Modifier 25) - AAPC
Providers and patients both reap the benefits when this add-on code is used correctly HCPCS Level II add-on code G2211 recognizes the ongoing Providers and patients both reap the benefits when this add-on code is used correctly
- Telehealth: Medicare Policy for CY 2025 - AAPC
Rulemaking and lawmaking keep telemedicine a viable solution for the masses, for now Now that the dust has settled on the American Relief Act, 2025, Medicare policy for telehealth services is extended through March 31, but then what?
- 2025 Brings New Telemedicine Codes - AAPC Knowledge Center
But only one is reimbursable under Medicare For calendar year 2025, the American Medical Association (AMA) introduced a new set of telemedicine codes
- 99221-99223 denials | Medical Billing and Coding Forum - AAPC
We had a claim for 99222 that was denied by Aetna since another provider had billed for it first We are the attending physician (and was the one who asked for a consult with the other provider) so I appended the modifier -AI, sent in the corrected claim with reconsideration form but they still denied it They are claiming that the code can only be billed once per day I checked again and CMS
- Wiki - Billing Radiation Therapy Codes 77301 and 77014 - AAPC
Aetna 77387 reimbursement rate We had the same issues with Aetna not accepting 77014 After appeals and disputes with provider representatives and medical directors, Aetna refused to accept 77014 The reimbursement for 77387 is significantly less than 77014, therefore, we came to an agreement to bill 77387, and Aetna agreed to reimburse 77387 with a rate comparable to 77014 An amendment was
- Wiki - 36415 denials | Medical Billing and Coding Forum - AAPC
My claims for Cigna and Aetna are being denied for the 36415 when performed with an office visit the lab bills the lab tests, we bill the venipuncture Is anyone out there getting paid for the 36415 for these insurance companies?
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