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2013 Molecular Pathology Fee Schedule

Thu, 2013-02-28 11:31

Cahaba has determined a gapfill allowance for the 2013 Molecular Pathology CPT codes. They can be obtained by doing a Search for a Single Code on the 2013 Clinical Lab Fee Schedule.

MAC J10 for the states of Alabama, Georgia, and Tennessee

Claims filing guideline update

Wed, 2012-12-19 13:52

Effective with claims for dates of service Jan. 1, 2013, contracted and non-contracted providers will be required to submit all medical service claims within 120 days of the date of service, or for facilities, within 120 days from the date of discharge. Corrected bills will also be required to be resubmitted within 120 days of the date of the remittance. If BlueCare or TennCareSelect is secondary to a commercial insurer or Medicare, claims must be submitted within 120 days from the date the primary insurer’s remittance was produced.

CORRECT USAGE OF MODIFIER 59

Thu, 2010-03-04 10:46

Due to recent provider inquiries regarding incorrect denials of CPT codes billed with modifier 59, Cahaba ran a report to identify all claims denied as duplicates with the use of modifier 59. The report is being researched and adjustments will be made to incorrectly denied claims using an automated system. Until the claims have all been adjusted, our Clerical Error Reopening lines will not adjust claims denied as a duplicate appended with modifier 59 to avoid creating overpayments.

Modifier 59: Article - Reminder

Wed, 2009-12-02 10:33

Cahaba Government Benefit Administrators®, LLC -MAC for Jurisdiction 10, which includes Alabama, Georgia and Tennessee

LMRP Updates - Tennessee - CIGNA

Wed, 2004-09-01 15:56

Cigna – Medicare Tennessee will retire LMRPs:

  • 85651 - Sedimentation Rate, Erythrocyte; Non-automated
  • 85652 - Sedimentation Rate, Erythrocyte; Automated

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