Posts

Shame on Horizon BCBS of NJ

It started when Susanne Madden sent me this “nice” message from Horizon to help me warn our clients about games Horizon continues to play.  Bottom line: they expect to stop paying for -25 or -59 modified codes starting May 10, 2010. Two minutes of email exchange led the helpful Dr. Stoller to send me this announcement from MSNJ. …

Pediatric Vision Screening Reimbursement (CPT 99173)

Back on one of the coding lists, a brave soul asked: I am curious to know what you are being paid for these. To avoid any questions, please don’t tell me the name of the carrier and what they pay……I would greatly appreciate knowing the range of PPO reimbursements for vision and hearing? I was …

E&M Distribution of -25 Modified Codes

Last week, Igor and I were looking at the usage of -25 Modified E&M codes as the information about them is a bit of an unspoken subject in our business. I can’t find any good, definitive sources so, as usual, we have to create our own. Two days ago, I posited that the distribution of …

Pediatric Modifier 25 Usage

Need proof that this is the best pediatric practice management resource on the planet? Check it out.   Oh, first: major drama at PCC’s office last night. Let’s hope this post is the closest I come to being a war correspondent. I don’t like the proximity of the event to yesterday’s message about flooding.   …