Merry and Rdmoore - This provider is not set up electronically because she is (opt-out) and because Medicare does not pay for LPC....so I do it all by paper. I read this information on Medicare website and started second guessing myself as Medicare billing is not my forte'. Most of my clients are fee for service or straight CareFirst/Anthem, so I feel inept billing Medicare. Typically, I bill Medicare with my letter and such, then client sends me the denial. I take denial and create paper claim to CareFirst attaching Medicare denial. Provider eventually gets paid.
However, after reading the Medicare website I thought I was doing this all wrong and thought I was supposed to be using the GY modifier. Should not have second guessed myself because my system gets the provider paid and that is all that matters.
I apologize for the confusion and I am not going on that website again!!!
Thanks again....will leave well enough alone...