I can only find a 5 year old post for this one. Wondering if anyone is submitting claims for TOVA with an LPC or LMFT? Maybe 96127 or 96146?

Anyone know how to get a noncredentialed Medicare claim out of Procentive to get the denial from Medicare to submit to a secondary BCBS?   We have an interesting situation where Medicare is primary due to the size of the company but clinician is a clinical trainee so the claim will not get out of Procentive to Medicare without a credentialed provider NPI on it.  Trouble is, if it goes out with the credentialed provider's NPI, Medicare pays it.  Thanks.

Has anyone started using modifier 93 for audio-only telehealth visits?  If so, what payers are accepting it? 

Thanks!

Has anyone had success with reimbursement from PrimeWest Insurance and billing 90837 psychotherapy? If so would you be willing to email me the secret to your great success.

I just went to my Electronics Module to check on claims status and all my claims sent electronically on Friday are still in the "sent" status versus "received".  Just wondering if anyone else noticed this? 

Is anyone having some issues with Drug Test claims 80305 or 80306 not being sent out successfully through Procentive? We have the CLIA number attached to each location, not the payer, but our claims are rejected before even being sent to the insurances because of CLIA errors. We have more than 1 CLIA number, so we cannot attach the number at the payer level. Any suggestions?

Hello

We are getting a lot of denials back for not billing the 96131 and 96137 with the base codes. (96130 and 96136) Do all 4 of these codes need to be billed on the same date and same claim? DHS is having a difficult time giving me the correct answer.

Okay, so my question: We do our psychological evaluations over multiple dates of service. The APA billing guidelines state that all evaluation codes (90791, 96130/31, and 96136/37) be billed when the report is completed (so, for us, the date of the feedback session). Is this the correct way to bill for psychological evaluations over multiple dates of service? Are there any modifier codes that need to be included?

CMS is starting 4-4-22

https://www.aafp.org › entry › telehealth_pos_changeDec 27, 2021 — Beginning Jan. 1, Anthem and UnitedHealthcare (UHC) will require commercial and Medicare Advantage plans to use new place of service (POS) ...