Medicare granted us a provider number for our CMHC with Partial Hospitalization Program. We are not yet approved for Medicaid services (Part A).
In reference to:
G0176 is not listed on any state's Medicare Part B Physician fee schedule, and the Medicare Master Fee Schedule lists this code with a status indicator "P" (Partial hospitalization; Paid under OPPS - Outpatient Prospective Payment System; Per Diem APC Payment).
We are a Partial Hospitalization Program. The Medicare Contractor for Louisiana is Pinnacle Business Solutions in Little Rock Arkansas. Looking in Medicare Part B, at their Physician Fee Schedule, entering G0176, G0177, G0410 and G0411; there is no payment for these codes.
Louisiana has started a Pre-Payment Probe Review for Group Psychotherapy. We are a new company, having only recently submitted our first claims to Medicare. I'm concerned that I have not used the proper codes. In the light of the probe into Group Psychotherapy, even though it is for Part A - Medicaid; I need to have all my records and billing codes correct.
Any assistance would be appreciated.