Dec 18, 2024 · Hello all, for the new CPT codes for audio only telehealth visits using POS 10, do we need to use modifier 93? Do we also use modifier 93 for straight Medicare telehealth visits …

Apr 3, 2018 · UMR is denying these charges stating the diagnosis is not coded to the highest level of specificity and they are denying our appeals when I send them copies of the aftercare …

Question: Our psychiatrist will sometimes perform initial psychiatric diagnostic evaluations in more than one session for a patient. In such a case, can we bill for more than one unit of 90791 or …

The Current Procedural Terminology (CPT ®) code 95165 as maintained by American Medical Association, is a medical procedural code under the range - Allergen Immunotherapy Services …

Jun 24, 2025 · We are getting paid out of network with UMR and SUREST. When I call and talk to a rep, they do see we are in network, they send the claim back for reprocessing, the claim …

Feb 21, 2025 · Hi everyone, Has anyone experienced issues contracting with UMR? They require the credentialing process to be completed through UHC, which we have already done for our …

Sep 19, 2019 · You should double check me, but in general, I know the following do not pay for consult codes: Aetna, AVMED, Cigna, Department of Labor, Kaiser, Medicare, Medicare …

Feb 25, 2025 · We have a provider that always got payment for a 99214 previously and now all of sudden insurance (UHC,UMR) are writing off the whole amount billed. This is for mental health …

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Jul 12, 2025 · We have noticed UMR will void codes submitted for prior authorization stating "Included with Primary Code Review". Example: We submit authorization for 97162, and …