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!

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