Does anyone know what POS I would use to bill a 90846 (family session w/o patient) when the patient herself is in an inpatient facility? 

The parents met with our provider to discuss plans for when the patient is discharged.   I billed it out as we normally would under POS 11, but BCBS denied saying we needed to use an inpatient POS, but we are an outpatient only clinic. 

Thanks 

We are contracted for these codes w/ Medica and UHC. It has been a nightmare going back to 2017 trying to get these codes authorized and paid. We have been working with our provider relations rep and are sending her all denials.

Now they are telling us it is more widespread than just our clinic. Just wondering if anyone else has the same issue.

Thanks....Tina

Is anyone billing the 99070 code? Here is the info:

CPT Code:

99072

Description:

Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other nonfacility service(s), when performed during a Public Health Emergency, as defined by law, due to respiratory-transmitted infectious disease

Lay Description:

Code 99070 is adjunct to basic services rendered. The physician or other qualified provider reports this code to indicate supplies and materials provided over and above those usually included with an office visit or services rendered. This code does not include eyeglasses; report the appropriate supply code if eyeglasses are provided. List drugs, trays, supplies, and other materials provided when using this code. Code 99072 reports additional supplies, materials, and clinical staff time necessary to perform safety protocols during a public health emergency (PHE) due to respiratory-transmitted infectious disease. Extra precautions, over and above those usually included in an office visit or other non-facility services, are taken to ensure the safety of patients and health care professionals during in-person interactions while allowing for the provision of evaluation, treatment, or procedural services. Use of this code does not depend on a specific patient diagnosis.

Notes:

Includes supplemental reporting for services adjunct to basic service provided.

Includes additional supplies, materials, and clinical staff time required for patient symptom review, personal protective equipment (PPE) use, and heightened cleaning processes due to respiratory-transmitted infectious disease during a declared public health emergency (PHE), as defined by law.

Excludes reporting more than one time per encounter, despite number services provided during encounter.

Excludes Supplies and materials provided, above those normally included in the encounter, unrelated to a declared PHE (99070).

For anyone interested or if this may apply to you, this information was passed along to us:

Over the past 30 years, the maternal mortality rate in the U.S. has doubled, with significantly higher rates among women from minority groups. Maternal health care providers can help eliminate these disparities by delivering the highest quality of care to all women.  

OCR’s partner, the HHS Office of Minority Health, has launched a free, accredited, 2-hour e-learning program, which is designed for providers and students seeking knowledge and skills related to cultural competency, cultural humility, person-centered care, and implicit bias across the continuum of maternal healthcare. At a glance, the e-learning program allows participants to:

-- Learn how to improve your quality of care by understanding, respecting, and responding to a patient’s experiences, values, and beliefs;
-- Earn up to 2 continuing education credits at no cost;
-- Accredited for physicians, physician assistants, nurse practitioners, nurses, certified nurse midwives, and certified midwives;
-- Complete the program at your own pace; and
-- Enjoy a friendly learning experience, using case studies, self-reflection questions, and a Resource Library.Learn how to improve your quality of care by understanding, respecting, and responding to a patient’s experiences, values, and beliefs: https://thinkculturalhealth.hhs.gov/maternal-health-care.

Think Cultural Health is a website of the HHS Office of Minority Health that provides health and health care professionals with information, continuing education opportunities, and resources on how to provide culturally and linguistically appropriate services.

Hello

Can anyone tell me if you can bill a 90791 on the same date as a 96130, 96131, 36, 37?

We are some what new to the ARMHS program and are having issues with denials for MN MA... We have Mental Health Practitioners trying to bill individual services (H2017).

(They are Mental health practitioners NOT Mental health rehabilitation workers that would use the H2017 HM) 

Mental Health Practitioners are not licensed so need a supervisor. Yet, our supervised claims have a HN modifier on them.  Call center tells us that the claims can't have HN.  However, if we bill without the HN it will look like Supervisor is the one providing the service.   Any help would be greatly appreciated!!  They way we are billing works for Blue Plus and UCare PMAP..   Thanks!!

We have had denied CTSS group claim payments since July of 2020. I am in communication with BluePlus to get this resolved but its a slow process and these services should be covered. Is anyone else have this issue?

Hello 

Just wondering if any other providers have their client portal link on their website so that is easy for clients to access.  Im not sure this is allowed by Procentive but I wanted to check before we tried.

Thanks!