Marketplace
Marketplace
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Add-on Coding - Advanced Beneficiary Notice ABN Modifiers GA GX GY GZ
- Anesthesia Bundling
- CMS Replacement Codes
- Co Surgeon Team Surgeon Professional
- Critical Care Codes when Discharging Home from the Emergency Department
- Decision for Surgery Modifier 57
- Diagnosis Code Coding
- Diagnosis Code Y65 XX
- Discontinued Procedures
- Emergency EM Codesand Place of Service
- Facility Bilateralor Anatomical Modifier Use
- Global Surgical Packages for Professional Providers
- Hospice Value Code 61
- Incarceration Diagnosis Code
- Inpatient services billed on Outpatient bill types
- Medically Unlikely Edits
- Modifier 25
- Modifier KX
- Modifier TC
- Multiple EM codes for the same provider same date of service
- NCCI PTP with Modifiers
- PT OT ST Yearly Limit
- PT OT Initial Evaluations
- Podiatric Q Modifiers
- Repeat Procedure Modifiers 76 77
- Status Indicator Flag B Bundled Codes
- Tendon Injections Missing Diagnosis
- Unlisted Coding
- Unspecified Codes in an Inpatient Setting
- After Hours and Weekend Care Professional
- Duplicate Claims
- Fee Schedule
- General Billing and Coding Policy
- Member Not Active
- Multiple Procedure Payment Reduction
- Overlapping Room and Borad
- Paid Amount Exceeded Billed Amount
- Recovery Policy for CPT to CPT Code
- Recovery Policy for Diagnosis Codes
- Recovery Policy for Revenue to CPT Code Review
- Recovery Policy Variable Discount Payments for Providers
- Semiprivate Vs Private Room
- Ambulatory Echocardiograph Monitoring
- Aortography and Peripheral Angiography
- Autonomic FunctionTesting
- CT Computed Tomography of the Abdomen and Pelvis
- Colonoscopy and Sigmoidoscopy
- Electrocardiographic EKG or ECG Monitoring Holteror Real Time Monitoring
- Image Guided Radiation Therapy
- Radiology Bone Density
- Radiology for chest
Medicaid
Medicaid
- Add-on Coding
- Anesthesia Bundling
- Co-Surgeon / Team Surgeon
- Critical Care Codes when Discharging Home from the Emergency Department
- Decision for Surgery Modifier 57
- Diagnosis Code Coding
- Diagnosis Code Y65 XX
- Emergency Service E&M Codes and Place of Service 23
- Global Surgical Packages for Professional Providers
- Hospice Value Code 61
- Hydrolyzed Enteral Formula Diagnosis
- ICD-10 First Listed Diagnosis Coding Policy
- ICD-10 Specificity
- Incarceration Diagnosis Code
- Inpatient services billed on Outpatient bill types
- Medical Supplies Home Health Consolidated Billingl
- Medically Unlikely Edits
- Modifier TC
- Modifier 25
- Modifier 26
- Modifier KX
- NCCI PTP with Modifiers
- NPFS Status Indicator T
- Outpatient Hospital Blood and Blood Products Policy Facility
- Procedure to Place of Service Policy Professional
- PT OT ST Yearly Limit
- PT OT Initial Evaluations
- Physical Therapy Max Units Per Day
- Podiatric Q Modifiers
- Repeat Procedure Modifiers 76 77
- Status Indicator Flag B Bundled Codes
- Therapy Modifier Coding
- Unlisted Coding
- Unspecified Codes in an Inpatient Setting
- Breast Cancer Genetic Testing Tier 1 vs Tier 2
- DRG Clinical Validation
- Excludes 1 Note
- Facility Emergency Department Evaluation and Management leveling
- Hospice
- High Level Evaluation and Management with Preventive Medicine
- Hospital Routine Supplies Services
- Newborn and NICU
- Non-Invasive Prenatal Testing
- Observation
- Psychotherapy Add On with High Level EM
- Readmission
- Sepsis
- Split-Night-Sleep-Study
- After Hours and Weekend Care Professional
- Authorization Review
- Corrected Claims
- Duplicate Claims
- Fee Schedule
- General Billing and Coding Policy
- Interim Hospital Claims
- Member Not Active
- Multiple Procedure Payment Reduction
- Overlapping Room and Borad
- Paid Amount Exceeded Billed Amount
- Recovery Policy for Billed Units Service Accumulator
- Recovery Policy for CPT-to-CPT Code Review Policy
- Recovery Policy for Diagnosis Codes
- Recovery Policy for Revenue to CPT Code Review
- Recovery Policy for Variable Discount Payments for Providers
- Semiprivate Vs Private Room
- Ambulatory Echocardiograph Monitoring
- Aortography and Peripheral Angiography
- Autonomic FunctionTesting
- CT Computed Tomography of the Abdomen and Pelvis
- Colonoscopy and Sigmoidoscopy
- Electrocardiographic EKG or ECG Monitoring Holteror Real Time Monitoring
- Image Guided Radiation Therapy
- PolysomnographyStudies and Home Sleep Testingy
- Pulmonary Function Testing
- Radiology Bone Density
- Radiology for chest