We are revamping our IOP treatment and will be incorporating PRS (H0038 U8) into our treatment plans. 

We have a clinic separate from our SUD Treatment and want to know if we can bill for PRS services when the client is not enrolled in SUD treatment but receiving other services (MH and Suboxone) through our clinic. 

In reading DHS documents it states these services can be provided before, during and after treatment. 

Any insight would be greatly appreciated. 

Thank you! 

Hello,

Our Ucare claims are splitting room and board and treatment apart and we cannot figure out why (also have a crisis ticket in but wanted to ask here ) Has anyone had Procentive system do this and be able to figure out why? 

Auths are in right, all things match as needed ...

Hello, looking for help in billing for a newly licensed LADC. She should be getting her license in June and then begin the process of credentialing w/payers, etc. What codes are used when billing at an outpatient behavioral health facility for a LADC? Thus far the only codes we use are outpatient codes for; LMFT, LISCW, LPC, etc. Any guidance would be greatly appreciated! Thanks, Sara

Is anyone experiencing a significant disruption in the payments for substance use disorder? We would be very interested in comparing notes on the experience.

I am seeing different modifiers pop up on my charges that I haven't seen before. 

Did something change that I'm not aware of? 

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!