Has anyone been able to successfully bill and receive payment for the Comprehensive Assessment ($162.24) with HealthPartners PMAP? 

Jeremy

Wondering if anyone has come across this scenario yet.....we have clients coming into the office and being seen via telehealth. When submitting claims w/ place of service (pos) office, no modifier is needed; for telehealth a modifier is needed for most payers. Currently, I have to look in the Appointment Module to see which clients are coming into the office so I know to change the pos to "office" ( right now, I only have Telehealth pos available for providers as that is the majority). Unfortunately, I added the telehealth modifier when I billed them. Anyone have any ideas how to handle this when it becomes half office and half telehealth clientele?

There is a lot of info out there about Insurance companies waiving deductibles and copays during COVID.  I have not seen any ERAs come thru where the copay/deductibles have been adjusted off.All service dates are still being applied towards copays/deductibles. If this is the case, shouldn't the insurance companies be paying the contract rate in full? Wondering how everyone is handling this....Thanks~Tina

Please see our Live Updates page regarding an intermittent issue that could have occurred regarding Audit Ready service lines.

Thank you

we are a children residential TX facility.  We are about to start billoing for CD Assessments can anybody help me out.  We currently bill 0944/0945 for our services under Revenue code 0944/0945  Would I also use this for the revenue code for CD assessments? can't seem to get any answers

Can someone tell me how often we are required to update signatures regarding billing release and where to find that data?

We are skipping Medicare for an unlicensed therapist, adding a GY modifier, and sending it to MA/PMA. (FIRST, skipping Medicare)  MA/PMAP denying due to billed to wrong insurance (Not Primary). Medicare denies for Unlicensed therapists. Please help me what are we doing incorrectly?

Anyone have an idea if Health Partners or (Any other commercial plans) Deny payment based on place of service (Anything other than Office or Telehealth) This one in question pertains to "School" as the place of service, the therapist is the treating provider. 

Does anyone know what is wrong when billing a 90837 and a 90899 I keep getting the denial code of 4. The 90899 was billed with the U9 and U4 modifier. Thanks

Has anyone had any issues with MA and their billing location NPI dropping off claims and then MA denying? the NPI for the specific service provider locations seem to be dropping off the claims, resulting in multiple denials that we are manually fixing in MN-its.

Any feedback would be helpful. Thank you

We have put a ticket, but just aren't having any luck. Also have tired calling the state and there is no internal issues on their end.