Any success with PrimeWest billing chgs and CD/BH claims?
I've not been able to get a claim through the clearinghouse since the April 14th change to requiring personal NPI's. Our clinicians/supervisors don't have ind NPI's. Does anyone know of a work-around? When I called the PW provider desk they weren't even aware of the change and therefore were no help. Also, just to test it out, I entered our facility NPI w/a facility name and submitted a claim and it was still rejected.
Billing 99354 w/Modifier?
I know that a 99354 mus be billed in conjunction with a 90837, but has anyone had success in receiving payment from a Health Partners county program using this combination?. The denial code suggested using a modifier?
How to bypass a primary payer that doesn't allow clinical supervision
A client is seeing a clinically supervised therapist. The client's primary insurance does NOT allow clinically supervised therapists but their secondary does. How do I bill?
RE-OPENING THIS ISSUE: : UBH/Medica Claims and ERAs
UBH/Medica claims/ERA's have once again stopped showing up. I, and other users, haven't received them since 5/18.
Travel Codes
I have noticed in the last couple of months that the out of state BCBS policies are denying the travel code (H0046) as CO instead of PR which is also causing a denial from the secondary. What have others done as a work around to this?
G-codes
Is anyone using G-codes and other tracking codes for quality measures and reporting them to the insurance plans?
If so, are all payers allowing them to process through their systems, such as Commercial plans, MA/PMAP plans, and Medicare? Or are they rejecting the claims because of these codes?
We are going to be using some that will be tracking BMI (G8417, G8418, G8420, G8422, G8938, G8421 and G8419), Tobacco screening (4004F, 10036F, 4004F 1P, 4004F 8P), Alcohol (G9621, G9622, G9632, G9624) Suicide risk (G8932, G8933), Screening for clinical depression (G8431. G8510, G8433, G8940, G8432, G8511), and PHQ9 (G9511, G9509 and G9510). Wondering if anyone else has any experience with these codes.
Thank you!
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