Author Topic: mental health  (Read 4613 times)

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
mental health
« on: February 22, 2011, 01:37:12 PM »
which is better when it comes to psychological testing billing?
ex:  mmpi = 2units-96101
       mbmd = 1 unit-96101
       mcmi = 1 unit-96101

or

96101= 4units
Regina

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4706
    • Solutions Medical Billing
Re: mental health
« Reply #1 on: February 23, 2011, 07:26:28 AM »
We have always seen it billed 96101 4 units, but I'm curious to see if anyone else has done it the other way.

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: mental health
« Reply #2 on: February 23, 2011, 08:25:23 AM »
We have an insurance that wants us to submit per test individually.   It is the most bizarre!!!!!!
Regina

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: mental health
« Reply #3 on: February 25, 2011, 02:33:34 PM »
Is anyone having issues with insurances paying, other than medicare, if in group?
90801- contracted LPC
96102- contracted Medical Psychologist
Regina

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4706
    • Solutions Medical Billing
Re: mental health
« Reply #4 on: February 26, 2011, 08:33:45 AM »
There are some commercial carriers that do not reimburse for services by an LPC.  As for the 96102, I would contact the carrier, maybe they don't have the psychologist contracted as able to do psychological testing.  It may just be the way they have them input into their system.

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: mental health
« Reply #5 on: February 28, 2011, 11:58:38 AM »
thanks michele
Regina

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: mental health
« Reply #6 on: March 08, 2011, 12:24:03 PM »
if doing psych. testing....can you bill insurance with the date of the report or the actual dates the tests are given.

ex:  if test is given on 2/25/11 but report is done and dated 3/16/11 ---can I bill for 3/16/11 instead of 2/25/11?
Regina

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4706
    • Solutions Medical Billing
Re: mental health
« Reply #7 on: March 09, 2011, 07:53:59 AM »
I believe you are supposed to use the date the testing was done.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: mental health
« Reply #8 on: March 15, 2011, 09:09:31 AM »
Where could I find this information.  I know that these codes (96101 & 96102) include report writing time and therefore that is why my question is if we can file using report date. On the report, administration dates are listed.  We are trying to figure out a way to have patients do all of their testing in one day instead of having to come back over and over, especially for those that are coming a long distance and pain patients that cannot sit for long periods.  Please help!!!!!
Regina

PMRNC

  • Hero Member
  • *****
  • Posts: 4217
    • One Stop Resources & Networking for Medical Billers
Re: mental health
« Reply #9 on: March 15, 2011, 01:30:13 PM »
I don't know you would find anything.. charges should always be billed according to the date of "service" Service being the date the test was performed.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: mental health
« Reply #10 on: March 15, 2011, 02:03:37 PM »
I agree.   Where can I go to get "proof" of billing for dates of service only.    To me it is common sense and never thought I would have to get this information.  I know that you guys hate this when a provider tries to pull this, but we are not out sourced.  I have to have something backing this up.
Regina

PMRNC

  • Hero Member
  • *****
  • Posts: 4217
    • One Stop Resources & Networking for Medical Billers
Re: mental health
« Reply #11 on: March 15, 2011, 07:23:09 PM »
Open up any insurance policy book, it's in there, Go to Medicare's website it's in there too. It will tell you "date services rendered"  I'm not understanding why you need to back this up? 

Quote
if test is given on 2/25/11 but report is done and dated 3/16/11 ---can I bill for 3/16/11 instead of 2/25/11?

I'm confused as to why the provider needs to back this information up as it is just sort of common sense, what do they think they would be losing?
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: mental health
« Reply #12 on: March 17, 2011, 03:07:24 PM »
it all comes back to another provider telling him "stories"     I am not outsourced and cannot afford to lose my job.   BUT I REFUSE TO DO ANYTHING ILLEGAL KNOWINGLY.
Regina

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: mental health
« Reply #13 on: March 17, 2011, 03:13:00 PM »
billing 101  (common sense)   anything billed must use the actual date of service.  everywhere i look i cannot find this printed, (because it is common sense 101).   if i cant give him this information in writing, i will not have a job.......
Regina

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4706
    • Solutions Medical Billing
Re: mental health
« Reply #14 on: March 18, 2011, 08:09:55 AM »
You are in a tough position.  Why don't you try contacting a provider rep for one of your larger insurance carriers and ask them.  Also, ask them for anything written on the topic.  Maybe if you get it from the insurance carrier how they require it billed, he will listen to that.

Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com