Administering an epidural can take less than a minute, but untangling the denial for the injection can take much longer. Pain management practices bill CPT Code 62323 from time
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40 mg injection can be paid in full or denied back. Often it’s just one incorrect billing unit. Drug claims are more money per line than almost anything else
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Most practices don’t lose money on big procedures. They lose it on the 99213 that should have been a 99214, repeated forty times a week. That is the cost
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A CMP is a ten-dollar claim that can quietly cost a practice thousands a year. The payment is small. The denials are not. For those of you who came
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Hospital clinics bill G0463 every day, but many are paid less than they should be. It’s simple code: one clinic visit, one facility charge. Then a payer asks for
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Denial of claims for skin lesion removal is one of the most subtle cash leaks in outpatient dermatology and primary care practices. Providers do minor lesion destructions, file claims
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A lumbar MRI looks like an easy claim. One scan, one code, one payment. Then the denial arrives and the reason reads “medical necessity not established”. The practice already
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Aetna pays and denies claims based on contract terms. Practices that read the contract get paid. Practices that skip it write off money they already earned. This Aetna medical
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Your GI team ran an esophageal study, the report is signed, and the claim goes out under 91040. Three weeks later, it comes back denied. The test was fine.
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The vast majority of 93971 denials have nothing to do with the US. The tech read it correctly. The doctor was correct about the pictures. Then the claim went
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