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BCBS MN telehealth claims

Ashley 5 jaar geleden in Billing/Electronic Modules bijgewerkt 5 jaar geleden 3

Has anyone else been having trouble with BCBS MN telehealth claims?  I'm having trouble billing our outpatient CD groups for telehealth.  I'm billing H2035 HQ with rev codes 0944 or 0945, no modifier and POS 02.  I've also tried billing with a modifier of 95.  I continue to get rejections with the following message:  "Error Message: Category: Acknowledgement/Rejected for relational field in error.  Status: Claim submitted to incorrect payer Entity: Billing Provider"

I'm unsure what to do or what to change as my Blue Plus claims are going through correctly at this point for the same provider and codes.

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GY modifier order

Scott VanBerkom 5 jaar geleden in Billing/Electronic Modules bijgewerkt door Anissa Jones 5 jaar geleden 1


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When billing with a GY modifier, is there an order in which the GY needs to be listed in when billing multiple modifiers?  

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Associate Billing Code to Specific Programs

Jonathan Beulke 5 jaar geleden in Billing/Electronic Modules bijgewerkt 5 jaar geleden 2

Does anyone know if I can/how I can associate a billing code for a specific program within Procentive?  For example, when our LADCs create a service line, I only want them to be able to see the billing codes specific to 245G, not codes for our residential and mental health clinic programs.

I tried figuring this out on my own, but have not been able to find something that may work for what I need.

Thanks

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workers comp and auto-related claims

Kim Ross 5 jaar geleden in Billing/Electronic Modules bijgewerkt door Mark Cornell 5 jaar geleden 7
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Bill multiple codes

Laura G 5 jaar geleden in Billing/Electronic Modules bijgewerkt door Sheryl Martin 5 jaar geleden 3

We billed an H0032, 90791, 90834, and Ucare paid the H0032 and the 90791 rejected the 90834. If I do a replacement claim what code or codes should get the 59 modifiers as an add on?

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I have a question. When billing the S9480 code is it a one time per diem rate or must you have skills and group therapy to bill this code

TVano 5 jaar geleden in Billing/Electronic Modules 0

When using the H2012 (bundled code) there must be a group therapy and at least 4 units of skills. Is this also true for the S9480 code for commercial? Or can you bill S9480 with just skills and no group therapy 

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Policy ID 9-11 Digit Fix

Scott VanBerkom 6 jaar geleden in Billing/Electronic Modules bijgewerkt door LaVonne James 6 jaar geleden 1
Running into this issue when billing : ID number is however correct. Unsure how to bypass this error to push the claim for this client. 

(The individual policy id must be between a 9 and 11 digit number(no dashes)) 
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Telehealth reimbursement for CTSS and H2027?

Kim Ross 6 jaar geleden in Billing/Electronic Modules bijgewerkt 6 jaar geleden 1
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Billing for house calls

Alyson Zurek, LICSW 6 jaar geleden in Billing/Electronic Modules bijgewerkt door John-Debbie Trunk 6 jaar geleden 2

This question was just posed to me by one of my IC's. I have a private practice, not behavioral health clinic. 


Can we make house calls (treatment in the clients home) to patients and still bill 90834/90837 to insurance companies? Is there also a travel code ( I think that is only used for MA/behavioral health clinics and CTSS), but wondering if available for private practice?

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UBH/Medica Billing - Claim Format

Jeremy Roelofs-Lynch 6 jaar geleden in Billing/Electronic Modules bijgewerkt 6 jaar geleden 2

We recently started receiving prior auths for PRS (H0038) and Tx Coord. (T1016). These PA #s are different than the one we receive for our group and individual (H2035).

We generally bill our claims out by DOS; however, now with multiple auths I am anyone bills claims by DOS and Auth separated? Any luck doing this?