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.