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99408 & 99409

Does anyone bill out 99408 and 99409 It is a public health approach to screening and early intervention to help identify, reduce and prevent substance use.  If so, have you been successful with getting paid? Thank you

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Changes to the 1002 value code

Jenna 5 ár síðan í Billing/Electronic Modules 0

Hello,

Was anyone else effected by the 1002 Room and board value code/CPT code change? 

We bill out for enhanced rate for both medical and w/ child  OR 1002 w/ Medical and they did not give a value code for those option/ combinations. Only on the 1003 code. 

That state has not contacted me back yet and this is a significant amount of money ! Curious if any one has heard back / had the issue as well. 

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Federal BCBS

sadie twite 5 ár síðan í Billing/Electronic Modules updated by Shondell 5 ár síðan 2

Hello,

We are continually having problems with getting paid by Federal BCBS plans for residential treatment with room & board. Do any of you providers bill this payer and what codes are you using?



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Billing to new Primary Payer

HOLLY J 5 ár síðan í Billing/Electronic Modules updated by Amanda Kaufmann 5 ár síðan 2

Hello,

I have updated primary payer from Medicare to HealthPartners PMAP.

I did the wrong payer adjustment in payments module and used drop down to queue claims to HealthPartners PMAP.

# 1 the queued claims are now showing in the billing module

# 2 claims show 0 balance

I'm new to procentive so any help would be great. I need to get these claims billed out to HealthPartners.

Thank you

Answer
Amanda Kaufmann 5 ár síðan

Hi Holly, 

This would be a great question to send in a ticket to Procentive (or have a champion send it in)- our support team can look at the claims you're trying to send and help guide you through best steps for getting it sent out. 

Thank you,

Amanda Kaufmann

Customer Success Manager

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Has anyone used the resource Supercoder (https://www.supercoder.com)? If so, what are your thoughts?

crystalp 5 ár síðan í Billing/Electronic Modules updated by Valerie1 5 ár síðan 1

Would you recommend this resource for learning about new possible codes to bill, code stacking, NCCI edits, etc?

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Does anyone place a client on "hold" when on furlough or LOA

Jenna 5 ár síðan í Billing/Electronic Modules Uppfært 5 ár síðan 2

Hello,

We are wondering if anyone ever puts their clients on  "hold "some how to prevent for error billing when client is on furlough. 

TIA!

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billing difficulty

Valerie1 5 ár síðan í Billing/Electronic Modules 0

Is anyone else having issues with billing today?  It takes forever and I have to go in and out a few times before it will finally go through

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Billing Medicare for Substance Use

KELLY PERFETTI 5 ár síðan í Billing/Electronic Modules updated by Karen P 5 ár síðan 3

Wondering if any others have billed Medicare for Alcohol screenings and counseling?  If so what codes did you use, I am not see any codes they recognize.

Alcohol misuse screenings & counseling

Medicare Part B (Medical Insurance) covers an alcohol misuse screening once per year if you’re an adult (including pregnant women) who uses alcohol, but you don’t meet the medical criteria for alcohol dependency. If your primary care doctor or other primary care practitioner determines you’re misusing alcohol, you can get up to 4 brief face-to-face counseling sessions per year (if you’re competent and alert during counseling).

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Wrong Payer adjustment

KELLY PERFETTI 5 ár síðan í Billing/Electronic Modules updated by Mark Cornell 5 ár síðan 3

Is there a way to clean up an account if you happen to bill the wrong insurance to get rid of that line and only have the correct insurance line. I find that when I run the 1010 report and it shows the Amount column that I have to subtract the Wrong Payer adjustments to get the correct amount billed out. Anyone else have this issue or know of a way to get rid of the incorrect payer line other than adjusting it off.

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MHCP told us that the DX Code F99 No longer valid

Tanya Milner 5 ár síðan í Billing/Electronic Modules Uppfært 5 ár síðan 8

Has anybody else been told F99 is no longer a valid code? MHCP told us that a claim did not get paid because as of June 2019 this code is no longer being used.

If this is the case, is there another code that will replace it? We use this when we do not have a specific DX for a client yet.