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Policy ID 9-11 Digit Fix

Scott VanBerkom 5 років тому в Billing/Electronic Modules оновлено LaVonne James 5 років тому 1
Running into this issue when billing : ID number is however correct. Unsure how to bypass this error to push the claim for this client. 

(The individual policy id must be between a 9 and 11 digit number(no dashes)) 
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Telehealth reimbursement for CTSS and H2027?

Kim Ross 5 років тому в Billing/Electronic Modules оновлений 5 років тому 1
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Billing for house calls

Alyson Zurek, LICSW 5 років тому в Billing/Electronic Modules оновлено John-Debbie Trunk 5 років тому 2

This question was just posed to me by one of my IC's. I have a private practice, not behavioral health clinic. 


Can we make house calls (treatment in the clients home) to patients and still bill 90834/90837 to insurance companies? Is there also a travel code ( I think that is only used for MA/behavioral health clinics and CTSS), but wondering if available for private practice?

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UBH/Medica Billing - Claim Format

Jeremy Roelofs-Lynch 5 років тому в Billing/Electronic Modules оновлений 5 років тому 2

We recently started receiving prior auths for PRS (H0038) and Tx Coord. (T1016). These PA #s are different than the one we receive for our group and individual (H2035).

We generally bill our claims out by DOS; however, now with multiple auths I am anyone bills claims by DOS and Auth separated? Any luck doing this?

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Billing S9480 code

Dao Xiong 5 років тому в Billing/Electronic Modules оновлено ahuseby 5 років тому 1

Have anyone billed out the S9480 code for IOP service and if you have, how do you set up billing for this?  Do you include to Diem Revenue code 0905

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Billing Modifiers for multiple services in same day

Kelli Feucht- ACS 5 років тому в Billing/Electronic Modules оновлено Shondell 5 років тому 7
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problems with viewing HCFAS in explorer

Marsyl Warren 5 років тому в Billing/Electronic Modules 0


Got a new computer with Windows 10 - I use explorer for procentive because it doesn't hide all your tabs, but I can't pull up HCFAs or Statements now...any ideas on how to fix this?

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Can a fully licensed and credentialed provider have a Billing Supervisor?

Stephanie B 5 років тому в Billing/Electronic Modules оновлено ahuseby 5 років тому 1

We have a fully licensed LMFT who is credentialed with Medica...but has a client that has a Medica Medicare-provider-only plan. I want to bill with a Medicare provider as Billing Supervisor on these claims. 

The claims dept rep suggested this to us as a work-around but wanted to more research to make sure this is ok. 

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Medicare Claim Rejections

sfoster 5 років тому в Billing/Electronic Modules 0

FYI, I recently had some NGS/Medicare claims reject in the Electronic Module. In case anyone else has run into this, it's because as of 1/1/2020 NGS/Medicare will reject any claim using the old member ID #'s (social security #). 

Thanks, Sara

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In-Home Travel Code other than H0046

Rochelle Garcia 5 років тому в Billing/Electronic Modules оновлено sarah 5 років тому 3

Does anyone use a different code for travel other than H0046.  Cigna states this code is no longer valid as of 2017 but of course wont advise on an updated code. Just wondering if any one else has come across this.  Client has MA as secondary so I just need them to deny as a non-covered service (if thats the case).  Thanks!