0

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!

0

90853 code

pamela 8 years ago in Codes/Rates/Diagnosis Modules updated by crystalp 8 years ago 3

Can anyone give me suggestions as to how we can get paid for two different psychotherapy groups that are offered on the same day? We currently have a women's group and a parenting group with clients in both group. Since we are billing a "90853", the system will only allow us to bill for this once in a day. Thoughts?


Pam