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?

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

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?

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. 

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

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  Cigna states this code is no longer valid as of 2017 but of course wont advise on an updated code.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!

Hello,

Our facility is exploring the option of providing Adult Day Treatment. My initial research show this is generally billed under H2012. 

I was curious if anyone would be willing to share their experience with billing this type of service. I also open to any resources or general knowledge you are willing to share. 

Thank you,

Jeremy Roelofs-Lynch

Billing Manager

jroelofslynch@parktx.com

We have some clients coming in for various things, primarily psychological testing for citizenship, and they often require an interpreter.  Most of these folks do have MA/PMAPs, but a few do not and we want to know if we are allowed to bill the client for those services.