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PrimeWest reimbursement for 90837

Kerri Ono fa 3 anys en Billing/Electronic Modules updated by ahuseby fa 3 anys 4

Has anyone had success with reimbursement from PrimeWest Insurance and billing 90837 psychotherapy? If so would you be willing to email me the secret to your great success.

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Electronic Module

I just went to my Electronics Module to check on claims status and all my claims sent electronically on Friday are still in the "sent" status versus "received".  Just wondering if anyone else noticed this? 

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CLIA claims rejected

Is anyone having some issues with Drug Test claims 80305 or 80306 not being sent out successfully through Procentive? We have the CLIA number attached to each location, not the payer, but our claims are rejected before even being sent to the insurances because of CLIA errors. We have more than 1 CLIA number, so we cannot attach the number at the payer level. Any suggestions?

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Psych Add On Codes

Laura G fa 3 anys en Billing/Electronic Modules updated by Tanya Milner fa 3 anys 1

Hello

We are getting a lot of denials back for not billing the 96131 and 96137 with the base codes. (96130 and 96136) Do all 4 of these codes need to be billed on the same date and same claim? DHS is having a difficult time giving me the correct answer.

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Psych Code Billings

Okay, so my question: We do our psychological evaluations over multiple dates of service. The APA billing guidelines state that all evaluation codes (90791, 96130/31, and 96136/37) be billed when the report is completed (so, for us, the date of the feedback session). Is this the correct way to bill for psychological evaluations over multiple dates of service? Are there any modifier codes that need to be included?

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Has anyone tried billing with the new place of service "10"--telehealth patient's home?

Tina B fa 3 anys en Billing/Electronic Modules updated by sarah fa 3 anys 5

CMS is starting 4-4-22

Major insurers changing telehealth billing requirement in 2022

https://www.aafp.org › entry › telehealth_pos_changeDec 27, 2021 — Beginning Jan. 1, Anthem and UnitedHealthcare (UHC) will require commercial and Medicare Advantage plans to use new place of service (POS) ...

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Ucare Group Numbers

Rochelle Garcia fa 3 anys en Billing/Electronic Modules updated by Teri fa 3 anys 1

With the changes in Ucare ID numbers, how are you entering the numbers in the payers module? I have a bunch of rejections because I didnt enter the information correctly.

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POS 10

ejallo fa 3 anys en Billing/Electronic Modules updated by ahuseby fa 3 anys 8

Are any payers by UBH using POS 10 yet that you know of?

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Eligibility Module

Anyone else having trouble with the EligibilityModule today?  It will run, but does not produce any information. 

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SUA

michelew fa 3 anys en Billing/Electronic Modules updated by Katie Scharberg fa 3 anys 1

When you bill for a substance use assessment on one day under H0001 and while you are obtaining collateral in the next day or two, you find the client was very dishonest about multiple items asked, and you need to call and talk with them or bring them back in to obtain an accurate assessment, how do you bill the second session?