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Slowness

We are experiencing slowness everywhere

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Heath Partners Denial Code 50

Rochelle Garcia 8 years ago in Billing/Electronic Modules updated by jbrownell 8 years ago 3

Hello,


Has anyone had claims deny from Health Partners with the code 50 (These are non-covered services because this is not deemed a 'medical necessity' by the payer.)?

Since January 1 all our psychotherapy codes have been denying with this code...weird.


Thanks

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Billing

Rochelle Garcia 9 years ago in Billing/Electronic Modules updated by Ashley 8 years ago 1

What do most providers use as a diagnosis for billing when clients come in one time and the therapist does not get enough information to complete a diagnostic assessment?

0

BCBS Federal Telehealth

Anyone receiving denials from BCBS Federal for DBT H codes done via telehealth?  We are getting pushback from them and lots of different answers for MH services in general done via TH stating these services need to be done through Teladoc.  

0

Therapy Brand sign in

AmyB 1 day ago in Billing/Electronic Modules 0

Is anyone having issues with signing into Therapy Brands? We are getting a message: "can't reach this page". This is also affecting E-Prescribe capability.

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Receiver Entity code rejections! Need some help

MarsylW 4 weeks ago in Billing/Electronic Modules 0

Billing Veterans Affairs Community Care  - all claims are being rejected for the following: This code requires use of an Entity
Code. Entity: Receiver

No idea how to correct this - ideas or anyone found a solution?

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Clinical Trainees billing Optum Plans with the U5 modifier, DQ qualifier

Nicole 1 month ago in Billing/Electronic Modules 0

Hi Everyone,

I am wondering how you all are handling this transition of new Optum payers that have been added so that we can send the U5 modifier with the DQ qualifier for our clinical trainees. Specifically, if you have a clinical trainee and a licensed provider seeing the same client with one of the payers that procentive split so clinical trainee and licensed people are billing different payers in procentive.

Any feedback on this change would be appreciated! 

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claim frequency code

MarsylW 2 months ago in Billing/Electronic Modules updated 2 months ago 6

Getting electronic rejections for claim frequency code and not sure how to address this...ideas?

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Why is Medicare (and Medicare plans) denying all F43 dx codes?

Stephanie B 4 months ago in Billing/Electronic Modules updated by s beaulieu 3 months ago 5

Effective December, Medicare and plans are denying any F43 code (F43.1, F43.23 etc).