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.

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?

CMS is starting 4-4-22

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) ...

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.

Are any payers by UBH using POS 10 yet that you know of?

Anyone else having trouble with the EligibilityModule today?  It will run, but does not produce any information. 

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?

We are getting all our 90899 and 90791 denied through PMAPS with the UA Modifier.  Should the UA modifier never go with these codes?

Thanks

Laura

Hello

Can anyone tell me why MA keeps denying all our 90899 and 90791 claims?  Most of the denials are coming back with a 4. When I call DHS no one can give me definite answers. 

Thank you!

We are going to start doing extended DAs and I'm wondering how other users have set their systems up to allow for multiple visits but only submitting the charge to insurance once the DA is complete. Any feedback