+1

External DA Review & Explanation of Findings

KELLY PERFETTI 7 months ago in Codes/Rates/Diagnosis Modules updated by sarah 7 months ago 1

Does anyone bill for an External DA review & Explanation of Findings.  If so what codes are you using and does insurance pay for this?  Thanks

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Modifier U4 Face to Face Sessions

John-Debbie Trunk 3 years ago in Codes/Rates/Diagnosis Modules updated by Sheryl Martin 3 years ago 15

Here is the link that is associated with my question: Regarding MA/PMAP Plans.

How are OPMH practitioners billing these events? It appears authorizations might be required.
Has anyone billed these types of sessions in the past? If so, how would we do this?

Debbie

0

Billing for Clinical Care Consultation

Alyson Zurek, LICSW 5 days ago in Codes/Rates/Diagnosis Modules updated 4 days ago 5

Can we bill for (and get paid:) Clinical Care Consultation over phone or in person? I've been told by someone who works in a CTSS clinic that they can only be billed for MA clients. Using code 90899 with modifiers. For example U8, U9, UB, UC (in person) and adding U4 for phone.

Can a private practice bill these codes or does one have to be in specific program to use these codes?

0

Blue Plus denial

Hello everyone,

Wondering if anyone has any experience with billing H2017 HQ - Adult group skills. Blue Plus is denying our claims for this code and modifier.

I spoke with Blue Plus and was told that they do not accept the HQ, and that there are 2 other H modifiers that I could use, but he could not tell me what those were.

Has anyone had any success billing this service?

Thank you!

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NEMT Transportation

LaVonne James 2 months ago in Codes/Rates/Diagnosis Modules updated 2 months ago 2

Does anyone have experience billing NEMT (Non-Emergency Medical Transporation)?

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Treatment Coordination Training

teresa.trepanier 4 months ago in Codes/Rates/Diagnosis Modules updated 4 months ago 2

Hello all, 

I am wondering if anyone has sent their staff to a 30 hour training on billing T1016 for 245G? If so where? We are having a hard time finding a training for this. 

Also has anyone started to bill for this in your CD programs?

thank you ! 

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Billing Aftercare?

Jeremy Roelofs-Lynch 7 months ago in Codes/Rates/Diagnosis Modules updated by Teri 7 months ago 5

We currently bill all our group/individual sessions under H2035. Once clients complete programming they are welcome to attend our aftercare group that meets on Saturday morning for a coupe hours. Currently this is free of charge; however, we are looking at possibly being able to bill for this service. 

Does anyone else bill for aftercare? If yes, how do you do this if the client was discharged from programming? Do the insurance companies pay? What code(s) do you use?

Any insight would be greatly appreciated. 

:)

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Could someone tell me the code that you are billing for on a External DA review and a Explanation of findings

Could someone tell me the code that you are billing for on a External DA review and a Explanation of findings

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Crisis Code change?

Alyson Zurek, LICSW 8 months ago in Codes/Rates/Diagnosis Modules updated by Richard Sethre, Psy.D., L.P. 4 months ago 3

Hello,

I am looking at the new DHS CPT Codes and Rates for 2019. I am seeing that the 90839 code typically used for Crisis billing code is linked specifically to CTSS. We do not bill CTSS here at my clinic. I am noticing that there is a code called S9484 identified as Adult Mental Health crisis assessment, intervention, stabilization-individual. Does this mean we should change our coding if we do a Crisis Appointment?