1. Forum: Procentive User Community
  2. Billing/Electronic Modules
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Billing for subcontractors at rehab facility

Jenna 7 year бұрын в Billing/Electronic Modules • жаңартылды 7 year бұрын • 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 year бұрын в Billing/Electronic Modules • updated by sarah 6 year бұрын • 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 year бұрын в Billing/Electronic Modules • updated by sarah 7 year бұрын • 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 year бұрын в Billing/Electronic Modules • updated by anonymous 7 year бұрын • 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 year бұрын в Billing/Electronic Modules • updated by TessaLasky 7 year бұрын • 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 year бұрын в Billing/Electronic Modules • updated by sarah 7 year бұрын • 1
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Billing 99354 w/Modifier?

Paula 7 year бұрын в 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 year бұрын в Billing/Electronic Modules • updated by crystalp 7 year бұрын • 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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Has anyone had luck getting reimbursed for Bariatric Assessments when there is no dx?

Tina B 7 year бұрын в Billing/Electronic Modules • жаңартылды 7 year бұрын • 2
0
Fixed

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

Stephanie B 7 year бұрын в Billing/Electronic Modules • updated by Ashley M 7 year бұрын • 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 year бұрын

This has been resolved.



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