Questions
0
BCBS Blue Plus Assessements
Jeremy Roelofs-Lynch il y a 4 ans
dans Payments/ERA Modules
•
mis à jour par Kim Ross il y a 4 ans •
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
Service d'assistance aux clients par 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.....
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