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

Jenna 7 jaar geleden in Billing/Electronic Modules • bijgewerkt 7 jaar geleden • 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 jaar geleden in Billing/Electronic Modules • bijgewerkt door sarah 6 jaar geleden • 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 jaar geleden in Billing/Electronic Modules • bijgewerkt door sarah 7 jaar geleden • 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 jaar geleden in Billing/Electronic Modules • bijgewerkt door anonymous 7 jaar geleden • 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 jaar geleden in Billing/Electronic Modules • bijgewerkt door TessaLasky 7 jaar geleden • 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 jaar geleden in Billing/Electronic Modules • bijgewerkt door sarah 7 jaar geleden • 1
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Billing 99354 w/Modifier?

Paula 7 jaar geleden 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 jaar geleden in Billing/Electronic Modules • bijgewerkt door crystalp 7 jaar geleden • 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 jaar geleden in Billing/Electronic Modules • bijgewerkt 7 jaar geleden • 2
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Fixed

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

Stephanie B 7 jaar geleden in Billing/Electronic Modules • bijgewerkt door Ashley M 7 jaar geleden • 2

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

Antwoord
Ashley M 7 jaar geleden

This has been resolved.



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