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BCBS Blue Plus Assessements
Jeremy Roelofs-Lynch vor 4 Jahren
in Payments/ERA Modules
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aktualisiert von Kim Ross vor 4 Jahren •
6
BCBS posted a Provider Bulliten on 4/10/2019 stating that as of 5/1/2019 we should bill the R25 Assessment with the HF Modifier to distinguuish between it and the Comprehensive Assessment.
Yesterday we received two ERAs for DOS January - April 2019 where they reprocessed ALL of our R25's as Comps since they were billed with no HF Modifier. The communication I have clearly states it went into effect on 5/1/2019. We get paid more for our R25 so it is resulting in a large takeback.
Thoughts?
Jeremy
Customer support service by UserEcho
We have always had to call the provider line to ask for claims to be corrected. I get a reference number along with the representative I spoke with and contact our contract representative with all the information. He is able to help us resolve most issues we are having.
Thank you Jen. I have struggled to find out who our Contract Rep is. When I try to call and ask I am getting the run around. Any tips?
How much more does BCBS PMAP reimburse for a Rule 25?
It depends on your contracted rate with BCBS.
Hi, we are (were?) contracted at a different rate. Now they are paying the 162.24 (lower than contracted rate) out of no where.....
How do you manage interns who have dual pre-licensure? We've noticed that staff with dual pre-licensure billing with an NPI for a PsyD supervisor pay higher than a single pre-license whose billing NPI is a Master's Level supervisor. We just requested our fee schedule and are trying to decode it...