COLONOSCOPY BILLING CODES– CPT 45380 , 45385

Colonoscopy Billing tips – cpt 45380  45385 As a speaker at many national conferences, I find the question most frequently asked is, “What is the proper way to code a screening colonoscopy?” First, let’s talk about what is a screening colonoscopy. Physicians...

Employer Group waiver plan – overview and FAQ

Employer Group waiver plan Employer Group Waiver Plans (EGWPs) are well-positioned solutions to help you keep costs down and offer valuable retiree benefits. An EGWP has financial benefits that significantly exceed current RDS payments. You should consider an EGWP if...

CPT code 47562, 47563, 47564 – Laparoscopy, surgical; cholecystectomy

CPT Code Description 47562 Laparoscopy, surgical; cholecystectomy – Average fee amount – $600 – $750 47563 – Laparoscopy, surgical; cholecystectomy with cholangiography 47564 – Laparoscopy, surgical; cholecystectomy with exploration of common duct – Average fee...

CREDENTIALING PROCESS – Detailed overview – TAT for top payers

CREDENTIALING PROCESS FOR NEW PHYSICIANS Overview New physicians/providers must credential themselves, i.e., enroll and attest with the Payer’s network and authorized to provide services to patients who are members of the Payer’s plans. The credentialing process...

Top reason for delay in Credentialing process

Source of Delays in the Credentialing Process The credentialing process may get further delayed due to few primary causes. They are as follows: Poor response or planning: Many times the response from new physicians or even credentialed physicians for our requests of...

CPT denied for performed in calendar month or year

Reimbursement Guidelines Time Span Codes UnitedHealthcare will reimburse a CPT or HCPCS Level II codethat specifies a time periodfor which it should be reported (e.g., weekly, monthly), once during that timeperiod. The time period is based on sourcing from the AMA or...

CPT CODE 93922, 93923, 93924 , 93925 AND 93926

CPT Code Description 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (e.g. for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler...