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Billing for CD assessments.

Mary Lou Meyer-Rolfe hace 4 años en Billing/Electronic Modules actualizado por Carolyn Bunker hace 4 años 1

we are a children residential TX facility.  We are about to start billoing for CD Assessments can anybody help me out.  We currently bill 0944/0945 for our services under Revenue code 0944/0945  Would I also use this for the revenue code for CD assessments? can't seem to get any answers

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Release signed by client of medical billing data related to claim:

sfoster hace 4 años en Billing/Electronic Modules 0

Can someone tell me how often we are required to update signatures regarding billing release and where to find that data?

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GY Modifier

Laura G hace 4 años en Billing/Electronic Modules actualizado por akeller hace 4 años 1

We are skipping Medicare for an unlicensed therapist, adding a GY modifier, and sending it to MA/PMA. (FIRST, skipping Medicare)  MA/PMAP denying due to billed to wrong insurance (Not Primary). Medicare denies for Unlicensed therapists. Please help me what are we doing incorrectly?

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Place of Service Denials w/ Commercial Ins.

Scott VanBerkom hace 4 años en Billing/Electronic Modules actualizado por sarah hace 4 años 3

Anyone have an idea if Health Partners or (Any other commercial plans) Deny payment based on place of service (Anything other than Office or Telehealth) This one in question pertains to "School" as the place of service, the therapist is the treating provider. 

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Denial code 4.

Laura G hace 4 años en Billing/Electronic Modules 0

Does anyone know what is wrong when billing a 90837 and a 90899 I keep getting the denial code of 4. The 90899 was billed with the U9 and U4 modifier. Thanks

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MA pay to provider denials

Has anyone had any issues with MA and their billing location NPI dropping off claims and then MA denying? the NPI for the specific service provider locations seem to be dropping off the claims, resulting in multiple denials that we are manually fixing in MN-its.

Any feedback would be helpful. Thank you

We have put a ticket, but just aren't having any luck. Also have tired calling the state and there is no internal issues on their end. 

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Getting copies of ID cards DL

Kim Ross hace 5 años en Billing/Electronic Modules actualizado por Bobbi hace 5 años 2
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BCBS MN telehealth claims

Ashley hace 5 años en Billing/Electronic Modules actualizado hace 5 años 3

Has anyone else been having trouble with BCBS MN telehealth claims?  I'm having trouble billing our outpatient CD groups for telehealth.  I'm billing H2035 HQ with rev codes 0944 or 0945, no modifier and POS 02.  I've also tried billing with a modifier of 95.  I continue to get rejections with the following message:  "Error Message: Category: Acknowledgement/Rejected for relational field in error.  Status: Claim submitted to incorrect payer Entity: Billing Provider"

I'm unsure what to do or what to change as my Blue Plus claims are going through correctly at this point for the same provider and codes.

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GY modifier order

Scott VanBerkom hace 5 años en Billing/Electronic Modules actualizado por Anissa Jones hace 5 años 1


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When billing with a GY modifier, is there an order in which the GY needs to be listed in when billing multiple modifiers?  

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Associate Billing Code to Specific Programs

Jonathan Beulke hace 5 años en Billing/Electronic Modules actualizado hace 5 años 2

Does anyone know if I can/how I can associate a billing code for a specific program within Procentive?  For example, when our LADCs create a service line, I only want them to be able to see the billing codes specific to 245G, not codes for our residential and mental health clinic programs.

I tried figuring this out on my own, but have not been able to find something that may work for what I need.

Thanks