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Mar 26, 2025 · Is anyone else noticing Aetna E/M claims being randomly downcoded without any justification? We have had many 99214 downcoded to 99213, even though the MDM supporte-On Aug 19, 2022 Axsome Therapeutics announced the FDA Approval of Auvelity, as the first and Only Oral NMDA Receptor Antagonist for the treatment of Major Depressive Disorder in ad@Oct 26, 2022 · You can view these edits on our Availity provider portal.* We are also expanding our claim edits for E&M services to our Medicare line of business with this update.!Jan 10, 2024 · I am very confused why all of a sudden we are seeing denials using place of service 11 with modifier 95 and now they want us to use POS 10 for telehealth in patient.Nov 20, 2024 · Ive been getting claim denials with the following remark codes - 16 - claim/service lacks information which is needed for adjudication. Claim submitted like we usu*Jun 6, 2023 · I access our Anthem (our local BCBS) fee schedule in Availity through Claims & Payments > Fee Scheduling Listing > Additional Fee Schedules and its listed there.&Mar 1, 2023 · (This is for a Family Practice - Professional Billing) As of Jan 1, 2023 the AMA Deleted all Assisted Living CPT codes. Per mlnMATTERS MM13004 - We are to bill Assis