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Assessments for Medicare clients

sadie twite vor 6 Jahren in Payers Module • aktualisiert von Tracy Filipi vor 6 Jahren • 2

Does anyone know if you can do an assessment for a Medicare client and bill for it even if you are not a Medicare contracted provider? We are looking to just do the assessment and then refer to a Medicare contracted facility.

Karen P vor 6 Jahren

If the assessment is for substance abuse, we don't bill Medicare.  We aren't contracted with Medicare for substance abuse.  Typically Medicare doesn't pay for Rule 25 assessments.

Tracy Filipi vor 6 Jahren

If you are talking about a Diagnostic Assessment, Medicare denied our claims with a CO denial when we used a non certified provider.

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