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workers comp and auto-related claims

Kim Ross 5 years ago in Billing/Electronic Modules updated by Mark Cornell 4 years ago 7
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Bill multiple codes

Laura G 5 years ago in Billing/Electronic Modules updated by Sheryl Martin 5 years ago 3

We billed an H0032, 90791, 90834, and Ucare paid the H0032 and the 90791 rejected the 90834. If I do a replacement claim what code or codes should get the 59 modifiers as an add on?

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I have a question. When billing the S9480 code is it a one time per diem rate or must you have skills and group therapy to bill this code

TVano 5 years ago in Billing/Electronic Modules 0

When using the H2012 (bundled code) there must be a group therapy and at least 4 units of skills. Is this also true for the S9480 code for commercial? Or can you bill S9480 with just skills and no group therapy 

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Policy ID 9-11 Digit Fix

Scott VanBerkom 5 years ago in Billing/Electronic Modules updated by LaVonne James 5 years ago 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 years ago in Billing/Electronic Modules updated 5 years ago 1
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Billing for house calls

Alyson Zurek, LICSW 5 years ago in Billing/Electronic Modules updated by John-Debbie Trunk 5 years ago 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 years ago in Billing/Electronic Modules updated 5 years ago 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 years ago in Billing/Electronic Modules updated by ahuseby 5 years ago 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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problems with viewing HCFAS in explorer


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?