Wondering if any others have billed Medicare for Alcohol screenings and counseling?  If so what codes did you use, I am not see any codes they recognize.

Alcohol misuse screenings & counseling

Medicare Part B (Medical Insurance) covers an alcohol misuse screening once per year if you’re an adult (including pregnant women) who uses alcohol, but you don’t meet the medical criteria for alcohol dependency. If your primary care doctor or other primary care practitioner determines you’re misusing alcohol, you can get up to 4 brief face-to-face counseling sessions per year (if you’re competent and alert during counseling).

Is there a way to clean up an account if you happen to bill the wrong insurance to get rid of that line and only have the correct insurance line. I find that when I run the 1010 report and it shows the Amount column that I have to subtract the Wrong Payer adjustments to get the correct amount billed out. Anyone else have this issue or know of a way to get rid of the incorrect payer line other than adjusting it off.

Has anybody else been told F99 is no longer a valid code? MHCP told us that a claim did not get paid because as of June 2019 this code is no longer being used.

If this is the case, is there another code that will replace it? We use this when we do not have a specific DX for a client yet.

Outpatient mental health clinics- Do you have the same rate for services across all insurances and if so does it make your adjustments look high at the end of the month since a commercial insurance might pay more than MA? 

I have a therapist who saw a client for a DA, and the billing was denied because the client was seen at another clinic on the same day. (CP case) Is there any way to get reimbursed for that DA? Crisis add-ons wouldn't work?

Hello! 

I am wondering anyone who also billed medical services out of Procentive and if anyone had any good ideas/ systems they use for DX codes. Our issue for our NP who is now onsite is the DX  codes that save .. don't hold a description next to them. So every time she enters time she needs to re search each one to make sure they still apply to the client. 

This is very time consuming .. any advice would be great!! 

Hi Everyone,

Just got message from our Ucare rep saying they did an internal audit and need to recoup. Sounds like there was an internal issue. Did anyone else get called/emailed about this?

How is ARMHS billing going for other providers? Are you seeing shorted payments, a lot of denials, etc. Looking for feedback on any ARMHS billing experiences, issues, ideas, etc. Thanks everyone!

Just wondering with other outpatient mental health clinics, when doing psychological testing for commercial clients, do you require a certain amount down for the services ahead of time or just wait for it to all be ran through insurance? Example: Psychosexual evaluations.

We have recently become a contracted provider for providing CW-Targeted Case Management services and we are trying to bill for these services in Procentive and send them electronically to MN MA, but we are running into the claims wanting to error out for a diagnosis code.  What have others used for this diagnosis requirement?