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Billing for subcontractors at rehab facility

Jenna 7 years ago in Billing/Electronic Modules updated 7 years ago 2

Hello,


We are a residential rehab facility. We have mental health and a nurse practitioner onsite. How do we go about billing their services? We have currently tried with our NPI as the billing provider and were rejected due to a "Rehab facility billing for a professional bill." 


Any advice is greatly appreciated ! 


Thanks! 

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H0032

TVano 7 years ago in Billing/Electronic Modules updated by sarah 6 years ago 12

I am working in the MNITS site and am having a hard time to get the H0032 code to pay. It is saying "modifier" issue. Does anyone else use this code for CTSS services and if so what modifiers are you using

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Community POS-CTSS

Rochelle Garcia 7 years ago in Billing/Electronic Modules updated by sarah 7 years ago 1

For CTSS services, when MHPs are not able to meet with clients in the home (for whatever reasons) what would be the best choice for Place of Service??? Thanks

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Two providers conducting the same session for a shared client

Stephanie B 7 years ago in Billing/Electronic Modules updated by anonymous 7 years ago 2

Is it allowed for two providers who work at my clinic, who have a shared client, to conduct a session TOGETHER at the same time? If yes, what is the best way to bill?

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Any success with PrimeWest billing chgs and CD/BH claims?

SEHowes 7 years ago in Billing/Electronic Modules updated by TessaLasky 7 years ago 4

I've not been able to get a claim through the clearinghouse since the April 14th change to requiring personal NPI's.  Our clinicians/supervisors don't have ind NPI's.  Does anyone know of a work-around?  When I called the PW provider desk they weren't even aware of the change and therefore were no help. Also, just to test it out, I entered our facility NPI w/a facility name and submitted a claim and it was still rejected. 

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Is anyone experiencing any slowness?

Tina B 7 years ago in Billing/Electronic Modules updated by sarah 7 years ago 1
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Billing 99354 w/Modifier?

Paula 7 years ago in Billing/Electronic Modules 0

I know that a 99354 mus be billed in conjunction with a 90837, but has anyone had success in receiving payment from a Health Partners county program using this combination?.  The denial code suggested using a modifier?

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How to bypass a primary payer that doesn't allow clinical supervision

Stephanie B 7 years ago in Billing/Electronic Modules updated by crystalp 7 years ago 3

A client is seeing a clinically supervised therapist. The client's primary insurance does NOT allow clinically supervised therapists but their secondary does. How do I bill?

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Fixed

RE-OPENING THIS ISSUE: : UBH/Medica Claims and ERAs

Stephanie B 7 years ago in Billing/Electronic Modules updated by Ashley M 7 years ago 2

UBH/Medica claims/ERA's have once again stopped showing up. I, and other users, haven't received them since 5/18.

Answer
Ashley M 7 years ago

This has been resolved.