Medical Billing Forum

Billing => Facility Billing => : kaitlynnmoran August 11, 2016, 04:02:38 PM

: OP mental health medical billing- Medicaid adult.
: kaitlynnmoran August 11, 2016, 04:02:38 PM
Trying to bill a cpt code of 90847 UC to Medicaid. This is an adult client and beginning July 2016, they have been denying my claims for place 11 for this code. Was wondering if anyone knows what place of service I should use for Medicaid to pay? We are an outpatient mental and behavioral health agency. Any input would be valuable. Thank you!
: Re: OP mental health medical billing- Medicaid adult.
: Michele August 12, 2016, 11:14:32 AM
When you say you are a "mental health and behavioral health agency" what do you mean "agency"?  There really isn't enough info to know for sure but it sounds to me like you are credentialed with the insurance carriers as some type of facility as opposed to simply a provider's office.
: Re: OP mental health medical billing- Medicaid adult.
: zahid February 19, 2019, 05:59:41 AM
can you tell me what actual denail statment?
: Re: OP mental health medical billing- Medicaid adult.
: jicjak0001 April 03, 2019, 02:48:42 PM
Dear

Actually place of service you have used(11) is ok. I think the problem you have is with Credentialing. If it is right then try to know if the provider is credentialed & In network with the insurance.