1. Foorum: Procentive User Community
  2. Billing/Electronic Modules
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Billing 99354 w/Modifier?

Paula 8 aastat tagasi 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 8 aastat tagasi Billing/Electronic Modules • uuendaja crystalp 8 aastat tagasi • 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 8 aastat tagasi Billing/Electronic Modules • uuendatud 8 aastat tagasi • 2
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Fixed

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

Stephanie B 8 aastat tagasi Billing/Electronic Modules • uuendaja Ashley M 8 aastat tagasi • 2

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

Vasta
Ashley M 8 aastat tagasi

This has been resolved.

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Travel Codes

Jill 8 aastat tagasi Billing/Electronic Modules • 0

I have noticed in the last couple of months that the out of state BCBS policies are denying the travel code (H0046) as CO instead of PR which is also causing a denial from the secondary.  What have others done as a work around to this?  

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G-codes

mboron 8 aastat tagasi Billing/Electronic Modules • 0

Is anyone using G-codes and other tracking codes for quality measures and reporting them to the insurance plans? 


If so, are all payers allowing them to process through their systems, such as Commercial plans, MA/PMAP plans, and Medicare?  Or are they rejecting the claims because of these codes?


We are going to be using some that will be tracking BMI (G8417, G8418, G8420, G8422, G8938, G8421 and G8419), Tobacco screening (4004F, 10036F, 4004F 1P, 4004F 8P), Alcohol (G9621, G9622, G9632, G9624) Suicide risk (G8932, G8933), Screening for clinical depression (G8431. G8510, G8433, G8940, G8432, G8511), and PHQ9 (G9511, G9509 and G9510).  Wondering if anyone else has any experience with these codes.


Thank you!

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90791 Payout

Stephanie B 8 aastat tagasi Billing/Electronic Modules • uuendaja anonymous 8 aastat tagasi • 4

I have noticed that, besides UBH, the payout difference on a 90791 and a 90837 is only a few dollars. Have others noticed this? Should I be negotiating a higher payout on 90791s?

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Biller Refresher Training

Pat Stream 8 aastat tagasi Billing/Electronic Modules • uuendatud 8 aastat tagasi • 0


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