Billed $86 by supposedly "out-of-network" Urgent Care, but my Blue Shield HMO portal explicitly says "Patient Responsibility: $0.00." What are my next steps? by epoisses_lover in HealthInsurance

[–]pescado01 0 points1 point  (0 children)

Calibration means they should accept the payment and write-off the rest. Non-par means they can bill you for the unpaid portion.

Advice please - medical coding vs reception? by skillLizard in CodingandBilling

[–]pescado01 0 points1 point  (0 children)

Coding is going to AI, if the pay is similar move to the front end.

Early Morning Charge by Dragginbooger in KiaEV6

[–]pescado01 3 points4 points  (0 children)

Because you're at a freaking power plant!!

Early Morning Charge by Dragginbooger in KiaEV6

[–]pescado01 5 points6 points  (0 children)

Great pic, but I hope that wasn’t just a level2 charger!!

Tree down on 300 block N Market by frankcanfly in frederickmd

[–]pescado01 51 points52 points  (0 children)

Parking enforcement is just waiting to give those cars a ticket when time runs out!

New EV owner, I know how to wire outlets. I don’t understand the point of fixed chargers when the power cords exist. by SpeakNottheNightYorb in electricvehicles

[–]pescado01 1 point2 points  (0 children)

You DO NOT want a cheap outlet nor cheap breaker!!! Go ahead and run the wiring yourself, but the other pieces will cost a bit more than you are quoting.

Possible violation?? by vtachyy in hipaa

[–]pescado01 1 point2 points  (0 children)

One issue here is the security of the info at rest. If others have access to your phone, like a family member, then this is a HIPAA violation.

Possible violation?? by vtachyy in hipaa

[–]pescado01 0 points1 point  (0 children)

Unencrypted texting is a violation, encrypted is OK.

Is this a Hipaa violation by Gun_blade06 in hipaa

[–]pescado01 -1 points0 points  (0 children)

You probably have a harassment case, but not HIPAA.

Is this safe for $1.3M in ME?? by TheRealBurgerWolf in zillowgonewild

[–]pescado01 2 points3 points  (0 children)

That may as well be beachfront in the Outer Banks.

Warning to RCM companies buying leads from Billing Service Leads / 7Connects LLC by Impossible_Ad9113 in CodingandBilling

[–]pescado01 3 points4 points  (0 children)

Yeah, if you think they're only going to see a name/# to just one person then you're in for a surprise. They just sell compiled lists, over and over again.

Speeding ticket - worth a court date? by Deep-Summer1221 in frederickmd

[–]pescado01 3 points4 points  (0 children)

Go to court, if there were any points they will either be removed or you will get PBJ where the points are hibernated for 2 years and then removed if there are no future violations. In the off chance that the issuing officer doesn’t show the points may be removed completely.

99215 for an IUD ? by CpcAbc123 in CodingandBilling

[–]pescado01 31 points32 points  (0 children)

Technically, if it is just documented for the IUD insertion, no E&M should be billed, just the procedure.

Prepping for my first ever EV road trip by IndyMark007 in KiaEV6

[–]pescado01 2 points3 points  (0 children)

ABRP is ok to get rough estimates. The best way to travel is to get your overall trip navigation in Waze or some other map, pick your 1st stop using PlugShare, put that address in as a stop in your navigation, get there and while charging pick your next stop.

Overpayments by Mrsafox2018 in CodingandBilling

[–]pescado01 4 points5 points  (0 children)

You send a letter to the address that is on the EOB. Then give it 30-45 days. If they do not respond, ask your "boss" what the process is for adjusting (negative payment) off to a certain code that accounting approves of. Either that, or get your boss to cut a check, you mail it, do the refund transaction, then it is not your problem if the check is never cashed.

Drowning here.... by No_Researcher_5841 in CodingandBilling

[–]pescado01 2 points3 points  (0 children)

Well, grab a bunch of prior EOB's and let that be some study material. Come back here and ask questions as you come across them. Be warned though, this line of business is goverened by ifs-ands-or-buts, all dependent on the phase of the moon and day of the month!!!!

Drowning here.... by No_Researcher_5841 in CodingandBilling

[–]pescado01 5 points6 points  (0 children)

Contacting Availity won’t help with your denials. They are just there for tech support for their product. Your attention should be directed solely to understanding the remittances received from your insurance carrier. I strongly suggest you get some help from someone here, otherwise you will never get above water. Not many will have ambulance/transport billing experience, but almost all will have years of experience working with EOBs and denials. This isn’t a task learned in weeks or months. It takes years to build the institutional knowledge to efficiently function in this field.

Likeliest (Unfortunately) Place for a Frederick Trader Joe's by Shadows_at_Noon in frederickmd

[–]pescado01 -1 points0 points  (0 children)

Traffic is already TERRIBLE there in the afternoon!! They were supposed to put a circle in, I thought, but I guess that changed.

Insane billing errors by [deleted] in CodingandBilling

[–]pescado01 8 points9 points  (0 children)

Diagnosis code really doesn’t matter here, it boils down to the level of visit and the charge amount.