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Community POS-CTSS

Rochelle Garcia 8 years ago in Billing/Electronic Modules updated by sarah 8 years ago 1

For CTSS services, when MHPs are not able to meet with clients in the home (for whatever reasons) what would be the best choice for Place of Service??? Thanks

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Two providers conducting the same session for a shared client

Stephanie B 8 years ago in Billing/Electronic Modules updated by anonymous 8 years ago 2

Is it allowed for two providers who work at my clinic, who have a shared client, to conduct a session TOGETHER at the same time? If yes, what is the best way to bill?

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Any success with PrimeWest billing chgs and CD/BH claims?

SEHowes 8 years ago in Billing/Electronic Modules updated by TessaLasky 8 years ago 4

I've not been able to get a claim through the clearinghouse since the April 14th change to requiring personal NPI's.  Our clinicians/supervisors don't have ind NPI's.  Does anyone know of a work-around?  When I called the PW provider desk they weren't even aware of the change and therefore were no help. Also, just to test it out, I entered our facility NPI w/a facility name and submitted a claim and it was still rejected. 

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Is anyone experiencing any slowness?

Tina B 8 years ago in Billing/Electronic Modules updated by sarah 8 years ago 1
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Billing 99354 w/Modifier?

Paula 8 years ago in Billing/Electronic Modules 0

I know that a 99354 mus be billed in conjunction with a 90837, but has anyone had success in receiving payment from a Health Partners county program using this combination?.  The denial code suggested using a modifier?

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How to bypass a primary payer that doesn't allow clinical supervision

Stephanie B 8 years ago in Billing/Electronic Modules updated by crystalp 8 years ago 3

A client is seeing a clinically supervised therapist. The client's primary insurance does NOT allow clinically supervised therapists but their secondary does. How do I bill?

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Fixed

RE-OPENING THIS ISSUE: : UBH/Medica Claims and ERAs

Stephanie B 8 years ago in Billing/Electronic Modules updated by Ashley M 8 years ago 2

UBH/Medica claims/ERA's have once again stopped showing up. I, and other users, haven't received them since 5/18.

Answer
Ashley M 8 years ago

This has been resolved.

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Travel Codes

Jill 8 years ago in Billing/Electronic Modules 0

I have noticed in the last couple of months that the out of state BCBS policies are denying the travel code (H0046) as CO instead of PR which is also causing a denial from the secondary.  What have others done as a work around to this?