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90899 and 90791 for PMAPS

Laura G 3 years ago in Billing/Electronic Modules updated by sarah 3 years ago 1

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

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UA Modifiers for 90899 and 90791 MA

Laura G 3 years ago in Billing/Electronic Modules updated by sarah 3 years ago 8

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!

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Extended Diagnostic Assessments

ejallo 3 years ago in Billing/Electronic Modules updated by sarah 3 years ago 2

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

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Date of Injury - Auto Claim

ejallo 3 years ago in Billing/Electronic Modules 0

Does anyone know where you enter the Date of Injury so it goes out on the claim?

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Two family codes billed on same day

sarah 3 years ago in Billing/Electronic Modules updated 3 years ago 1

We have a clinician who had to meet with Mom and Dad separately, but they came in on the same day. Has anyone ever billed two 90846 codes on the same day? I'm just unsure if we should bill with the 59 modifier or the 76 modifier? Any experience you'd be able to share on this topic would be great! Thank you in advance!

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H0032 and H2017

Laura G 3 years ago in Billing/Electronic Modules updated by sarah 3 years ago 1

If we bill both these codes on the same day does the second one get a 59 modifier?? MA or a PMAP.

Thanks!

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Chemical Health Home visit

KatieW 3 years ago in Billing/Electronic Modules updated by Carolyn Bunker 3 years ago 1

We're trying to set up a new Chemical Health/Substance Abuse program for our facility. We are an outpatient-only facility but this new program would include a CD-Individual session at the patient's home in addition to their normal in-clinic services. 

Has anyone billed a CD service from a client's home? We would appreciate being able to pick your brain about the specifics

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DBT-A codes

Kim Ross 4 years ago in Billing/Electronic Modules updated by sarah 4 years ago 4
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99072

Sheryl Martin 4 years ago in Billing/Electronic Modules updated 4 years ago 4

Hello,

Has anyone billed the 99072 yet?  If yes, what were your results?  Thanks!

Sheryl

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Do I need a 59 modifier for a H2014 and a H0031 the same day

Laura G 4 years ago in Billing/Electronic Modules updated by Shauna Dall 4 years ago 2

Good Morning

Do I need to use a 59 modifier when billing an H2014 and an H0031 on the same day?  It is also the same therapist.

Thank you,

Laura