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Submitting ARMHS claim code H0031 to BCBS

Jonathan Beulke 8 years ago in Codes/Rates/Diagnosis Modules updated by crystalp 8 years ago 5

Our company is having some difficulty submitting claim code H0031 (Functional Assessment) to Blue Cross Blue Shield as they are not recognizing our unit formula: 1unit=15min, and is rejecting our claims. Does anyone have experience with submitting H0031 to BCBS, and if so, what do you claim for the units? I submitted a ticket on this and our Procentive support agent suggested we bill it as only 1 unit but check with the community.

Thanks for the assistance!

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CTSS UA Modifier Questions

Kim Ross 8 years ago in Billing/Electronic Modules updated by MKluender 8 years ago 1

We're newly CTSS certified and trying to determine how to use the UA modifier on under 18 clients who have MA/MAPMAP's. For those of you already CTSS certified, if you have the UA modifier set to attach automatically when you select CTSS in the client/payer/enrollment module, does it attach for ALL services and get reimbursed? When did you begin using the UA modifier?

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Crisis Services

mboron 8 years ago in Billing/Electronic Modules updated by Mark Cornell 6 years ago 1

Is anyone Billing Crisis Services for Mobile Crisis Outreach (MCO) Services to Commercial Insurance? If so, what codes are you using to bill and which insurance companies are paying?

Thanks!

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Answered

voice transcription

Ashley 8 years ago in Clinical Charting Module updated by Jana 7 years ago 21 2 duplicates

Does anyone know of a voice transcription product that would be compatible with clinical charting in Procentive?

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Telemedicine

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

For those of you who are billing Telemedicine...what POS do you use when sending in claims?

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z-codes in client module

kbushman 8 years ago in Clients Module updated by Sheryl Martin 8 years ago 10

would love to hear what agencies/private practices are doing with regards to posting the z-codes in client module/diagnosis tab. Since they can't be billed do they need to be posted there rather then just on the clinical documents?

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Modifiers for billing 2 codes in one day?

Kim Ross 8 years ago in Billing/Electronic Modules updated by crystalp 8 years ago 3

Does anyone have experience with adding modifiers, such as 59, 77 or 78 when you need to bill two codes, such as 90837 and 90847? Is it possible to bill more than 2 codes on the same day and be reimbursed?

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Reports

K Brewer 8 years ago in Accounting/Collections Modules updated by Kevin Holmes 8 years ago 1

Where can I get a better explanation of the different billing reports in Procentive and what the included fields represent?