Do you have a modifier 25 podcast?

Good morning! Happy new year!🎉

Thank you so much for these videos!!! Excellent work

Happy New Year 🎉 to you and your family ❤

Thank you. Merry Christmas

😂wow another planet😂😂😂

Hope that shoulder heals quickly. Its not fun! Thank you for posting.

Hello Terry. Do you have a video about the Pre-authorization of Sunosi for Adult Expansion Medicaid in Utah? Why have I gone nearly two months without Sunosi (Solriamfetol). Sunosi is a much better drug than Adderall! Please help me understand what's going on & how this all works for this drug, specifically? I have to call my insurer next week to figure out what's going on.

Can 99215 be billed for time? Like, if it's not that complicated but the patient takes a long time- like 45 minutes to an hour because they want the doctor to give them Healy info for any and every little issue they've ever had!? Lol

Thank you for posting! Was just certified, so I definitely appreciate the guidance.

Happy Thanksgiving! May no one be struck by rogue turkeys!

Happy Thanksgiving!

Thank u hospital for the job happy.😀

Happy 😀

😀❤️

Thanks for everything! 47 is a mess but lets see what he can do.

Congratulation Terry on your anniversary. On the last thing that you said - Make America Healthy Again, thank you for advocating for the coders, billers and especially the doctors who provides care to those who are need for our help. You are correct, I was saddened by the turn of events, but I am over it ad we have to advocate for those who are in need. I have always hated the sequestration or taken away of monies that should have gone to the providers (doctors) because it is being taken away from us the workers. Once again, thank you for advocating for the providers.

So happy you are advocating for Healthcare, I couldn't agree with you more!

Congratulations Terry.

Please make a video about CCM billing as well. Thanks

What you are saying should be seen written in front of screen, so it is easy to understand the thing. Thanks

Plz make sure

You are flat out wrong.

Medical coders should know better...that is big violation if check friends and relative medical documentation. Each employer I ever worked for ensure workers know this HIPAA laws. However most providers can get away with it

Thank you!

Would love to hear an episode on app’s. Especially when they have multiple collaborative providers and how to then view new vs established patients as it relates to that. Cardiology sub specialties can add to that possible confusion

Thank you for posting!

Ahh tried to go to clinic supported by BIG name hospital in my area. I just wanted to get visit on health my 20minutes in this clinic was over$3,000f. The visit was $500 and each lab fees were trippled.I had to pay over $700 balance cause labs not fully covered. I refuse to go back there. My neighbor had emerg surgery and her lab total was billed 3 separate times on same day. her surgery was $20,000 this was paid. Insurance paid the first lab bill, but she got lab bill for other 2 times same labs and same date. They sent her the double billed lab I told her to complain . Creative accounting

i have seen hospitals or doc office not charge patient copayment then bill insurance for full fee. Sometimes the payer pay a bit more than some payers only paid what is agreed on.I went to a urgent care had to put on my credit card $300 but my copayment was $35. I complained but needed service. Luckily my visit was paid full amount by payer and did not charge me anymore on credit card of $35. I felt i could be scammed but followed their rules

Thank you for providing your response. Definitely needed this information.

Does ultrasound 76937 included in the catheterization?

Thanks a lot. I have a question Does Cardinal Care ( MCO) VA retroactively covers the three month back DOS if coverage was not active for those DOS?

Thank you for posting. I appreciate explanation!

99246 can be provided by clinical staff

Hello @ anyone. Need help with regulations for a physician walking in IDTF no orders wanting exams?

can you bill 9940X codes with a Phyician signing off as incident to billing with commercial plans that allow incident to billing

Thank you!

Love that you shared the squirrel fighting over an orange!! We all need to laugh at silly moments like this! 😂

Table of risk why is no one talking about rx management and the Provider documenting the risk of the medication. Low moderate high

La verdad de los controladores de los umanos y como ser libres l.mamani Hipnosis❤yeshua❤la muerte no existe❤todos vamos acender ala 5 D❤❤❤

Insurance denials using wrong Z dx code FIRST and missing modifiers which needed

Important information about refunds: what a joy

Great episode. As a family practice coder I see this constantly. Can you touch on AWVs with an office visit? We have a lot of providers who do office visits when everything is stable. My argument is the service has to be medically necessary to perform, so if everything is stable, it would not be medically necessary. They'll send a referral for labs or refill stable scripts and charge a level 4. What are your thoughts?

I like this hi Terry.

I am a prior authorization specialist getting doctors to comply with the documentation necessary to establish medical necessity for a service being requested is the most difficult part of my job. It seems that some doctors allow their ego as a medical provider to supersede doing what is necessary to get paid. It is excellent compliance in documentation that affords some doctors to be awarded the gold card. Oftentimes it's the lack of amendments to previous doctor's notes that describe the current changes or new occurrences that result in denials on the first submission. This can lead to peer-to-peer reviews with the Medical Director taking time away from patient care. I have the hardest time getting Nurses and Doctors to understand this.

Your videos are realy helpful in terms of healthcare product. Thank you so much. I wish you can have video in regards with incidental by nature / Incidental by total episode of care denials by the insurance. Like DME 😊

endocrinologist billed this , uses virtual care for max 15 minutes, sees them twice a year, commercial insurance doesn’t cover it. Absurd!!!

Great episode, Terry! On the parent-child scenario you mentioned, I agree on the risk-reduction rationale when the parent(s) is/are helpful, but there may be times when the presence of a parent can complicate the visit, esp during visits dealing w teen preg or gender reassignment considerations. Parents can become very emotional on these topics, which may add a layer of complexity to the visit.

Love Numbers!!!

This is great! What about idiopathic conditions?