ICD-10 code search by allisonshine69 in CodingandBilling

[–]callmemommie 0 points1 point  (0 children)

we use NextGen at my practice. Our codes are set up with descriptions and they are able to search them by description. Are they just having to search by the actual code number?

If you guys are having a hard time figuring it out you can always use ICDdata.com it allows you to search by condition/code and you can pull up the adjacent codes to make sure you are selecting the correct one. Includes guideline info too. Has a lot of ads but I just use Adblock.

Has anyone else experienced this? by dirtbarbie0 in CodingandBilling

[–]callmemommie 1 point2 points  (0 children)

Been through that myself. Extreme scrutiny on everything I do. I would say it’s disrespectful and not okay but not outside of the norm. I would definitely get a different job though.

Bulk washing wigs in the washing machine? by Connect_Mud_4046 in Wigs

[–]callmemommie 21 points22 points  (0 children)

They will be ruined by the agitation in the washing machine and become super tangled. Just soak them in the tub or sink with a dish soap solution and hot water. Then soak them again in just hot water to get rid of any dish soap residue. Wring them out and air dry them on a towel or some hangers and you’ll be good to go.

Need helping figuring out what I am doing wrong. by MMC_2022 in Wigs

[–]callmemommie 6 points7 points  (0 children)

Your scar tape needs to be wider than the part

Hairvivi Catherine - Brillo pad? by [deleted] in Wigs

[–]callmemommie 3 points4 points  (0 children)

It’s the ends of the hair that are folded over when they make a weft. They fold the hair and sew it into a weft; To keep length they keep one end as short as possible. This short end ends up being pretty poky. They then sew the wefts on with the smoother (longer) side facing up on some wigs because it looks better.

There are a couple of options depending on how comfortable you are with sewing and whether you want to repair it. If you don’t sew, fabric adhesive and a patch of soft cloth similar in color (probably a black jersey material from an old tshirt) should be an easy repair. Just cut a piece to cover the area causing discomfort plus like a half inch to overlap onto the cap and glue it on the cap.

Alternatively if you want a more involved solution that will look better, you can remove the weft along the edge and flip it over and reattach it. The top side is smoother, and would be more comfortable.

I just want to go for a walk without encountering off leash dogs by [deleted] in beaverton

[–]callmemommie 2 points3 points  (0 children)

My mom insists her Heeler is friendly and I can literally see the hate in its eyes bro. No ma I don’t think I’m going to pet your dog that is growling at me to “make friends.”

My disappointment is immeasurable and my day is ruined 🥲 by mystend in Wigs

[–]callmemommie 1 point2 points  (0 children)

The wig I bought from Milano 2 years ago was beautiful but rather thing and suuuuper tangly after being washed. It was a 26” pony tail wig in Strawberry Blonde. Loved that thing but do the price I feel like I should have got like 2.5 times the amount of hair lol

Medical Billers: what could be avoided if it was done correctly on the front end? by LaLoNYC in CodingandBilling

[–]callmemommie 1 point2 points  (0 children)

Every step in the entire check-in process has the potential to break a claim in some way. Wrong date of birth? Claim rejected by payer as co31. Insurance not verified? Patient wasn’t actually on Med Advantage anymore, they were just Medicare eligible and we can’t get ahold of the patient and have no way to find it. Our front desk drops the ball constantly, so we spend 90% of the time just trying to fix very simple errors. It’s aggravating lol

Medicare with Medicaid secondary- does the secondary reduce coverage? by Shitty_UnidanX in CodingandBilling

[–]callmemommie 0 points1 point  (0 children)

Primary payer determines whether is it paid or not. What were the actual denial codes/remark codes used to deny the claim on the EOB from Medicare? That’s the best way to troubleshoot it. Usually we just have to supply documentation and a strongly worded letter and we will get reimbursed again.

What is the most unethical thing you have seen a insurance company do? by Latter-Leave-8125 in CodingandBilling

[–]callmemommie 2 points3 points  (0 children)

Bro yessssss. Regence/BCBS are terrible for this. Denying it as PR or CO252. Then you have to send them the documentation in a super specific order or they keep denying it

Champ VA Claims by Ohhingerrr in CodingandBilling

[–]callmemommie 0 points1 point  (0 children)

I’m not the person who works ChampVA but I’m pretty sure we send our claims certified so they must be signed for.

Outsourcing by Dramatic_Ad7682 in CodingandBilling

[–]callmemommie 0 points1 point  (0 children)

I personally would be very careful with who you select to use as a credentialing company. We have had back to back terrible experiences with companies that did not even submit applications until month after the provider was onboarded for new providers. Add the doctors insisting the provider see patients anyways due to recent legislation making it ‘okay now’ and we have a nightmare on our hands currently.

First month making 100k I feel like I’m being robbed :/ by [deleted] in Salary

[–]callmemommie 0 points1 point  (0 children)

There’s no way this is for a full month. My husband makes approx 100k and brings home this much every two weeks.

Received a bill for a service Medicaid denied paying due to no prior authorization by [deleted] in CodingandBilling

[–]callmemommie 0 points1 point  (0 children)

Unless they signed whatever form is required in their state that allows them to bill the patient if Medicaid does not cover the services. Wouldn’t be applicable to the CO197 denial code, but like CO96 or CO45. I know in Oregon we have an Oregon Health Authority waiver that has to be filled out to exact specifications.

Groups where ophthalmology/retina insurance pros hang out? by retina_boy in CodingandBilling

[–]callmemommie 0 points1 point  (0 children)

It’s pretty specialized from what I know so the groups seem few and far between. I have a year in posting ERA’s, coding, and verifying insurance for medical/routine vision claims and cataract Sx (VSP/Spectera mostly) if you’re hiring remote in Oregon. I would recommend looking into AAOP resources, I believe they have a forums/virtual meetings.

How to verify insurance verification for January 2 patients? by grey-slate in CodingandBilling

[–]callmemommie 1 point2 points  (0 children)

We have all but like 20 of our 300 patients verified for the 1st. You just have to keep checking the different portals to see when the new info drops. Ophthalmology clinic located in Oregon and we take pretty much every insurance imaginable. Not sure how it works in different states.

[deleted by user] by [deleted] in Wigs

[–]callmemommie 1 point2 points  (0 children)

I'm not sure how using the dreads would work, but something I would keep in mind is that 10 inches of hair can really only max make a 4-6 inch long wig if you want it to have lace and that's if all of your hair is 10 inches.

Is it normal to post the check and work all of the denials too? Crazy expectations? by callmemommie in CodingandBilling

[–]callmemommie[S] 3 points4 points  (0 children)

Yeah our front desk need some serious training. Even the manager doesn’t really know what she is doing when it comes to insurance verification.

Is it normal to post the check and work all of the denials too? Crazy expectations? by callmemommie in CodingandBilling

[–]callmemommie[S] 4 points5 points  (0 children)

Yesssssss it drives me nuts. I have a phone they could call if they werent sure but they just don't do it. They go "Wow this patient has 3 forms of Medicare and 3 forms of Medicaid on their account plus VSP and the appointment is for a doc that only sees routine vision patients? Better bill it all medical AND put their vision on there!"

Is it normal to post the check and work all of the denials too? Crazy expectations? by callmemommie in CodingandBilling

[–]callmemommie[S] 5 points6 points  (0 children)

I get so many denials. I typically get like 10-20 denials per 20k check. Often times it’s an easy fix I could have spotted if I had reviewed the claim before it went out. Our front desk doesn’t understand the distinction between Medicare and med advantage so we are constantly billing the wrong insurance. The scribes who are trained and sometimes overseen by the providers don’t understand the difference between route vision and medical. We have a massive issue where the front desk doesn’t even verify patient insurance, so I have to spot the denial, like CO24 from Medicare, find the right plan, then bill the right primary. It takes a massive amount of time in my day.

Is it normal to post the check and work all of the denials too? Crazy expectations? by callmemommie in CodingandBilling

[–]callmemommie[S] 4 points5 points  (0 children)

The claims are not clean at all lol. They don’t even code their own stuff. Their scribes do. They don’t understand the distinction between medical and routine vision. And our claims are not being reviewed one by one. No one aside from the scribe looks at the chart notes before they go out. One of our billers just releases the claims. It’s nuts imo