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Payments from the Minnesota DHS.

Charles Meyers il y a 2 ans dans Billing/Electronic Modules mis à jour par Heather L. Heim il y a 2 ans 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 il y a 2 ans dans 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 il y a 2 ans dans 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 il y a 2 ans dans Billing/Electronic Modules mis à jour par Tina B il y a 2 ans 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 il y a 2 ans dans 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 il y a 2 ans dans Billing/Electronic Modules mis à jour par sarah il y a 2 ans 1
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PrimeWest reimbursement for 90837

Kerri Ono il y a 2 ans dans Billing/Electronic Modules mis à jour par ahuseby il y a 2 ans 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 il y a 2 ans dans 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?

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Psych Add On Codes

Laura G il y a 2 ans dans Billing/Electronic Modules mis à jour par Tanya Milner il y a 2 ans 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.