Author Topic: Medicare Part B Question  (Read 1099 times)

dedwards

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Medicare Part B Question
« on: September 27, 2010, 09:40:31 AM »
Hello,
We are just beginning to bill Medicare Part B.  When I bill 90862 to Medicaid, I use the modifier HE and have never had a problem getting it paid.
Medicare has rejected charges for a Medicare patient stating it is the wrong modifier.  Of course, they offered no help but referred me to their
web site.  The only modifier I could find that seemed to fit (per the Medicare site) is A1.  Now our clearing house (Emdeon) is rejecting it stating it is incorrect.
We are a community mental health center and the charges are for the psychiatrist's visit.
Thank you for any help you can provide.

Michele

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Re: Medicare Part B Question
« Reply #1 on: September 27, 2010, 06:56:25 PM »
What are you trying to accomplish with the modifier?  I bill 90862's to Medicare but I have never attached a modifier to it.
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dedwards

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Re: Medicare Part B Question
« Reply #2 on: September 28, 2010, 09:20:33 AM »
Let me try it without a modifier.  This is the first time I've ever filed Part B for a mental health charge.
Thank you for your help!  I really appreciate it. 

PMRNC

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Re: Medicare Part B Question
« Reply #3 on: September 28, 2010, 10:13:21 AM »
You should NOT need a modifier for 90862.  IF the provider however is ONLY doing a med check (NO THERAPY), minimal time..it's billed as M0064. 
Linda Walker
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