Mar 26, 2025 · Is anyone else noticing Aetna E/M claims being randomly downcoded without any justification? We have had many 99214 downcoded to 99213, even though the MDM supported the …

Oct 26, 2022 · You can view these edits on our Availity provider portal.* We are also expanding our claim edits for E&M services to our Medicare line of business with this update. This expansion …

Jun 6, 2023 · I access our Anthem (our local BCBS) fee schedule in Availity through Claims & Payments > Fee Scheduling Listing > Additional Fee Schedules and it's listed there.

Mar 1, 2023 · (This is for a Family Practice - Professional Billing) As of Jan 1, 2023 the AMA Deleted all Assisted Living CPT codes. Per mlnMATTERS MM13004 - We are to bill Assisted Living patients …

On Aug 19, 2022 Axsome Therapeutics announced the FDA Approval of Auvelity, as the first and Only Oral NMDA Receptor Antagonist for the treatment of Major Depressive Disorder in adults. We have …

Nov 20, 2024 · I've been getting claim denials with the following remark codes - 16 - claim/service lacks information which is needed for adjudication. Claim submitted like we usually do. On the same claim …

Jul 25, 2022 · The automated system keeps repeating itself and asks us to check Availity. Unfortunately, Availity is of not much help when it comes to claims being rejected without any reason code.

May 30, 2024 · We have not changed anything in our submission process which is done via a billing vendor who uses the Availity clearinghouse. Somewhere in this process the claims are not being …

Feb 6, 2024 · I am so confused on what this ARC means. This was sent back to me by Blue Care Network (part of BCBS of MI)... I billed a TCM (99496) and Medication Reconciliation (1111F). The …

The Current Procedural Terminology (CPT ®) code 74178 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Radiology (Diagnostic …