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Recent Medicare Inquiries

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Medicare Coding

I am an attorney in florida handling personal injury protection (pip) issues. Pip insurers utilize medicare fee schedules, coding and payment methodologies. I would like to discuss a particular coding methodology called multiple procedure payment reduction (mppr). Specifically i would need someone who understand mppr and can look at an explanation of benefits and determine whether an insurance company is properly reimbursing the doctor.

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    krishnaraaj |

    This is krishnaraaj from INDIA. I am a CPC certified coder With 5 + years of medical coding experie...

    3.5 Hours Later
  2. Profile Picture

    Ray |Founder and CEO

    I work with attorneys in the southeast in personal injury cases, managing and lowering medical bills...

    4.7 Hours Later
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    Kathleen |Medical Coding Specialist

    Hello, I have been a Certified Coder for almost 15 years. I understand and have had experience with...

    8.3 Hours Later
+19 Other Responses
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Medicare Coding

I am doing research for a potential start-up project and i need to know how many times cpt code 91740 and 97124 were used in 2013 and by whom (i.E. Physical therapist, chiropractor, etc.)

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    Kelly |Consultant

    I could help you with this. I have extensive knowledge and resources available. Please contact me ...

    7 Minutes Later
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    Valdamitra |Contract worker

    What or who do you need to get this information?...

    22 Days Later
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    Bobbe |Consultant

    I believe I could help you with this....

    23 Days Later
+3 Other Responses
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Reimbursements For Wound Care In Nursing Homes

We are interested in talking with a medical reimbursement expert about "wound care services in nursing homes" (10 "cpt"). Specifically, we are interested in talking with experts about their view on future potential reimbursement trends for these codes. Our assertion is that these procedures are smaller ticket items (~$100-150 a procedure) and thus not on medicare’s radar for cuts, but we would like to try and support this by talking with people who know how medicare thinks and what they may be targeting for potential cuts in the future. We would like to speak with people who have either previously worked in medicare or are at other agencies or organizations who are very close to the pulse of what medicare is thinking. Thanks!

    +undefined Other Responses
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    Medicare Coding

    Need help with properly coding services for a mental health and pain medicine practice. This is a single provider + support staff practice. We provide services in office, assisted living, custodial care and snf settings. Need to properly code e&m and adjunct services for billing to medicare and various california workers compensation payers. Looking for a consultant to assist with coding to maximize revenue while staying within medicare guidelines.

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      Duncan |Medical Coder

      I would be glad to assist you. E & M coding simply requires good abstracting. Many times small off...

      3.1 Hours Later
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      Brij |COO

      Ours is a Florida Based Medical Billing & Coding Company with over a Decade experience in Healthcare...

      155.4 Days Later
    +2 Other Responses
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    Medicare Coding

    We need an expert witness with at least 5 years experience in the field of medicare coding that is familiar with the coding policies and payment methodologies of the federal centers for medicare and medicaid. Specifically, we are looking for several experts with experience and knowledge of the national correct coding initiative (“ncci”). We need an individual with the credentials and ability to define what a utilization limitation is as defined by medicare. We need this individual to be able to explain clearly what coding policies and payment methodologies are technically considered to be utilization limitations (if any) and what coding policies and payment methodologies are not considered to be utilization limitations. Expert must be based in florida. The ideal expert will be familiar with florida statute 627.736 (2013)

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      Donald |Director

      Sorry-Not ably to assist here DZ...

      2.3 Hours Later
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      Dawn |Partner

      I have years in the Medicare billing coding and RAC environment. Would enjoy working with you. I ha...

      11.4 Hours Later
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      Paula |Healthcare Revenue Management Consultant

      I would be most happy to assist....

      1.2 Days Later
    +4 Other Responses
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    Medicare Coding

    We are looking for expert witness with at least 5 years experience in the field of medicare coding that is familiar with the coding policies and payment methodologies of the federal centers for medicare and medicaid. Specifically, we are looking for several experts with experience and knowledge of the national correct coding initiative (“ncci”). We need an individual with the credentials and ability to define what a utilization limitation is as defined by medicare. We need this individual to be able to explain clearly what coding policies and payment methodologies are technically considered to be utilization limitations (if any) and what coding policies and payment methodologies are not considered to be utilization limitations. Expert need not be based in florida. The ideal expert will be familiar with florida statute 627.736 (2013) areas of expertise: seeking experts with knowledge of medicare coding; medicare coding; medicaid; medicare; ncci; medical coding; medical billing; reimbursement; utilization limitation; national correct coding initiative

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      Ray |Managing Engineer

      We have published many studies using Medicare *****uding looking at payments, coding and is very...

      4.2 Hours Later
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      John |Director of anesthesia

      For coding issues as a physician I cofounded a billing and collection company. Please let me know ho...

      6.8 Hours Later
    +4 Other Responses
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    Centers For Medicare & Medicaid Services (cms)

    Need someone who had been will cms or medicare investigations who can review documents in a criminal case. We are located in houston texas

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      Mark |President, Medical Directions Corp.

      I have been medical director for one of the RAC subcontractors and a member of the Massachusetts att...

      2.4 Hours Later
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      Donald |President and CEO

      Depending on the scope of the case, I would be qualified to consult. Can you share more specifics?...

      3.6 Hours Later
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      Dana |Principal

      I was a Medicare auditor for ten years and am currently CFO at a Critical Access Hospital in Alaska...

      15 Hours Later
    +5 Other Responses
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    Medicare Coding

    We are an accredited, medicare/medicaid-certified home care agency in cleveland, ohio. We seek a certified consultant to review our medicare/medicaid service codes periodically to assure enhanced reimbursements.

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      Dorothy |Revenue, Billing/Coding Consultant

      I have a number of years experience in Medicare billing, coding, reimbursement....

      13.3 Hours Later
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      Peggy |Branch Director

      I took a coding class several years ago, and passed it 100%, and have been coding for homecare ever ...

      15 Hours Later
    +3 Other Responses
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    Medicare Coding

    I need help with the 97750 code

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      Leon |President

      TPG *****ice is a small consulting practice with expertise is coding. Our consultants have in d...

      5.8 Hours Later
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      Sue |Manager

      I can help I have 35yrs+ in coding and billing...

      9.7 Hours Later
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      Rob |CEO, Licensed Attorney

      I have 25 years in the billing and coding area, and have access to *****rts in coding and re...

      4.8 Days Later
    +4 Other Responses
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    Medicare Compliance

    I am involved in a fca claim against an acute care hospital involving medicare and medicaid issues-- 1) upcoding, 2) improper status changes for inpatient only procedures, and 3) violations of 3 day inpatient stay rules for transfer to snf facilities. The us attny reviewing the case has hired nurse practitioners to advise the us attny and i would like a medicare coding expert to weigh in and possibly serve as the chief plaintiff's expert in the case.

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      Raymond |CEO

      I am Raymond Cogen MD MBA and head a Medicare conuslting firm (Cogen Medicare Consultants). We do no...

      1.5 Hours Later
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      Dorothy |Revenue, Billing/Coding Consultant

      I can help. 23 years as Medicare specialist. still contract with QIO....

      4.7 Hours Later
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      Robin |CEO

      I received your inquiry. I am an *****r with background and experience in compliance, parti...

      8 Hours Later
    +4 Other Responses
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    Medicare Billing

    Need an expert in a medicare fraud case dealing with adult diapers. Accusations of over billing medicare, of billing for the wrong size, of nondelivery, and delivery of the wrong size.

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      Dorothy |Revenue, Billing/Coding Consultant

      I have worked on several Medicare fraud cases involving suspicious billing. Contact me if I may be...

      2.3 Hours Later
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      Sonja |RN-Clinical Specialist

      Adult diapers are not covered by Medicare.. in any circumstance....

      13.2 Hours Later
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      Sue |Manager

      Who is being accused of fraud an individual, family or a business?...

      2.1 Days Later
    +4 Other Responses
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    Medicare Coding

    I'm looking to start an occupational therapy clinic- specifically a low vision rehabilitation clinic. I will need a medicare expert to help me with this project.

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      Margo |CEO

      I have a medical billing company that specializes in OT/PT/ST www.apsbilling.net. Please email ...

      8 Minutes Later
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      Jennifer |CEO

      Hello, I have muti- speciality experience. I been within the Medical field for over 25 yrs. I have h...

      9.5 Hours Later
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      Sue |Manager

      I have over 30 years experience in medical billing and coding. I can help with setting up medicare p...

      9.8 Hours Later
    +7 Other Responses
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