Author Topic: Rev Code  (Read 1343 times)

Angie

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Rev Code
« on: October 09, 2011, 08:05:46 PM »
What rev code would be appropriate to use for "Therapeutic Wilderness Program" anyone know? We are not licensed as Residential Treatment or Inpatient.........  We cannot use Residential Treatment, correct? Because we are not licensed as such? 99.9% of the insurance companies do not cover the full program but we are always being asked why we cannot prepare a claim (UB04) and see if they will cover it. They do however reimburse their members for a portion of the therapy sessions that are provided directly by the licensed therapist but that is a very small portion of the cost of the program since the therapist is not in the field 7 days a week.....Any advise????
« Last Edit: October 09, 2011, 08:24:01 PM by Angie »

Michele

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Re: Rev Code
« Reply #1 on: October 10, 2011, 11:50:50 AM »
We have actually done a small amount of billing for a wilderness program.  We did the UB04 but only for the therapy sessions by the covered therapists.  You could do the UB04 for the 'room & board' portion, but it most likely will not be covered as you said.  It might make the parents satisfied that you tried.  I would think using a mental health dx such as behavior disorder or something. 
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Angie

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Re: Rev Code
« Reply #2 on: October 10, 2011, 12:10:39 PM »
Have you been able to get the full wilderness program covered ever? And we cannot bill it as Residential Treatment correct because our license specifically states "Therapeutic Wilderness Program".
Thanks for your help!

Michele

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Re: Rev Code
« Reply #3 on: October 10, 2011, 06:37:01 PM »
Nope, just the sessions by the licensed therapists.
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