Hello,
I bill for a community mental health facility which includes a day treatment program. I have to bill Part A Medicare for the PHP level (H0035), however the other two levels: Intensive day treatment level (H2012) and Rehab day treatment level (H2017) are not covered under Medicare. Since these levels are not recognized by Medicare, they are payable under Medicaid, and we've never had a problem getting them paid. We are now beginning to bill Medicare Part A, so this question has now come up. My question is if a patient has Medicare and Medicaid and is in either of the two levels not recognized by Medicare, do I still have to file Medicare first? As of now, we are not a Medicare Part B provider.
Thank you for all your help! We are about to order the Mental Health Book, and I'm looking forward to finding out much more about mental health billing.
Debbie