PrimeWest reimbursement for 90837
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.
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?
CLIA claims rejected
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?
Psych Add On Codes
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.
Psych Code Billings
Okay, so my question: We do our psychological evaluations over multiple dates of service. The APA billing guidelines state that all evaluation codes (90791, 96130/31, and 96136/37) be billed when the report is completed (so, for us, the date of the feedback session). Is this the correct way to bill for psychological evaluations over multiple dates of service? Are there any modifier codes that need to be included?
Has anyone tried billing with the new place of service "10"--telehealth patient's home?
CMS is starting 4-4-22
Major insurers changing telehealth billing requirement in 2022
https://www.aafp.org › entry › telehealth_pos_changeDec 27, 2021 — Beginning Jan. 1, Anthem and UnitedHealthcare (UHC) will require commercial and Medicare Advantage plans to use new place of service (POS) ...
Ucare Group Numbers
With the changes in Ucare ID numbers, how are you entering the numbers in the payers module? I have a bunch of rejections because I didnt enter the information correctly.
Eligibility Module
Anyone else having trouble with the EligibilityModule today? It will run, but does not produce any information.
SUA
When you bill for a substance use assessment on one day under H0001 and while you are obtaining collateral in the next day or two, you find the client was very dishonest about multiple items asked, and you need to call and talk with them or bring them back in to obtain an accurate assessment, how do you bill the second session?
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