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billing urine analysis/drug screens for BCBS MN

Ashley 6 years ago in Billing/Electronic Modules updated by crystalp 6 years ago 1

Has anyone had any luck billing UA's/drug screens to BCBS of MN?  We have quite a few clients w/BCBSMN PMAP policies, and we are writing off a lot in drug screens for clients.  Any ideas/codes/experience would be appreciated!

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Clinician Name Change

sarah 6 years ago in Billing/Electronic Modules updated 6 years ago 4

Does anyone have a procedure in place when a licensed clinician gets married/divorced and has a name change? Do you bill under both names until the change is complete with all payers?

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MHCP Provider manual requirement for DA date of service

Kim Ross 6 years ago in Billing/Electronic Modules updated by Chris 6 years ago 1

Good Day!

The MN DHS Provider manual says the following about billing diagnostic assessments: 

- Complete all Diagnostic Assessment (DA) Report Components before billing a DA
- Enter the date of service for the DA as the date the written DA report is completed


We have always used the face-to-face date as the DOS to bill a DA, and are billing after the DA is marked audit ready (completed). The State of MN, however has advised us to bill the date of service as the date the DA report is completed. (This is documented by the MHCP provider manual and via email correspondence we have received. I have also heard this said by DHS staff directly!)


I realize that agencies who use Procentive do both -- that is bill with the DOS as the face-to-face date or bill the date of service with the date the DA is completed.


If you use the DA completion date as the DOS -- a couple of questions:

How is it working / what is your process?

Do you do the same for all payers: MA & Private?


Thank you!
Kim

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Has anyone been receiving calls from UBH/OPTUM saying that clinical trainees cannot provide services for Mental Mealth services even if they are clinically supervised by a credentialed/licensed LMFT?

ppatche 6 years ago in Billing/Electronic Modules updated by Susan Davis LICSW 6 years ago 1

Has anyone been receiving calls from UBH/OPTUM saying that clinical trainees cannot provide  Mental Health services even if they are clinically supervised by a credentialed/licensed LMFT?

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Has anyone billed for injections of medication? I believe the code is 96372.

Shondell 6 years ago in Billing/Electronic Modules updated by LWright 6 years ago 1

We have never billed for this service.  Everything I read says that I need to put the medication information on the claim.  I'm wondering if anyone has worked with this before.

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Has anyone obtained a letter from Medicare that says Medicare will not reimburse a provider or providers because of licensure?

Kim Ross 6 years ago in Billing/Electronic Modules updated by Mark Cornell 3 years ago 7

We have a case where Americas PPO (Mayo Health Solutions) will not pay our claims unless we either send a Medicare EOB or a letter from Medicare to substantiate that the services is not reimbursed by Medicare. Because these types of claims don't get processed by Medicare b/c the provider is not in network, we don't get an EOB. How are we able to get a Medicare letter documenting provider ineligibility for Medicare reimbursement?  

Thanks so much!

Kim

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Billing 96101

Candace 6 years ago in Billing/Electronic Modules 0

I am reaching out to the community to see if anyone has experience with billing 96101 codes as a Clinical Trainee or predoctoral intern? I have my Master's degree in Applied Psychology, which qualifies me to do psychological testing. I also have nearly completed my 2,000 hours internship requirement toward my PhD in Clinical Psychology (all necessary coursework is completed). I still will be working on my dissertation however. At the conclusion of my internship, will I still be able to bill 96101 under the supervision of a licensed psychologist for private insurance? If an organization has any input, it would be greatly appreciated. 

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Sending claims to secondary if there is no CCD left for secondary to pay

I recently read something in one of the payer manuals that said they still want claims sent to them if they are the secondary payer even if we know they would not pay because there was no CCD left from primary payer. What is your billing practice? If there is no CCD or PR left from how the primary payer processed and paid do you still submit claims to the secondary (whether its commercial or MA)?

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Answered

Issues with slowness and modules not working.

Shondell 6 years ago in Billing/Electronic Modules updated by anonymous 6 years ago 9

I know people are having problems with the eligibility module, but is anyone having issues with every module?  My billing module isn't working.  I am getting complaints from staff that the clinical module is having problems.  This is the big day of the month to do facility billing and we are stuck.