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Payments from the Minnesota DHS.

Charles Meyers hace 3 años en Billing/Electronic Modules actualizado por Heather L. Heim hace 3 años 2

Is anyone experiencing a significant disruption in the payments for substance use disorder? We would be very interested in comparing notes on the experience.

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AH and HO Modifiers

ejallo hace 3 años en Billing/Electronic Modules 0

I am seeing different modifiers pop up on my charges that I haven't seen before. 

Did something change that I'm not aware of? 

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TOVA

Liz hace 3 años en Billing/Electronic Modules 0

I can only find a 5 year old post for this one. Wondering if anyone is submitting claims for TOVA with an LPC or LMFT? Maybe 96127 or 96146?

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Medicare/BCBS

Jill Benson hace 3 años en Billing/Electronic Modules actualizado por Tina B hace 3 años 2

Anyone know how to get a noncredentialed Medicare claim out of Procentive to get the denial from Medicare to submit to a secondary BCBS?   We have an interesting situation where Medicare is primary due to the size of the company but clinician is a clinical trainee so the claim will not get out of Procentive to Medicare without a credentialed provider NPI on it.  Trouble is, if it goes out with the credentialed provider's NPI, Medicare pays it.  Thanks.

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Modifier 93 - Audio Only Telehealth

ejallo hace 3 años en Billing/Electronic Modules 0

Has anyone started using modifier 93 for audio-only telehealth visits?  If so, what payers are accepting it? 

Thanks!

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Are CTSS services only covered by BluePlus and MA?

Tanya hace 3 años en Billing/Electronic Modules actualizado por sarah hace 3 años 1
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PrimeWest reimbursement for 90837

Kerri Ono hace 3 años en Billing/Electronic Modules actualizado por ahuseby hace 3 años 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

ppatche hace 3 años en Billing/Electronic Modules 0

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?