Billing > Billing
psychology
rdmoore2003:
when it comes to Tricare insurance. We have a pt that needs to do extensive individual therapy for ptsd, a ptsd group, and medication management. the group and med visit is by 1 provider but the individual therapy is a different provider in the office. (group practice under same tax id) instead of the patient coming in 3 times a week, how could i code to get reimbursed, if say pt comes in 1 or 2 a week instead of 3?
Michele:
I was waiting to see if someone else had any experience with this. IMO the patient would have to come separate days for each service or else they will be denied. You could call Tricare to see if they would approve multiple services on the same day, but I'm not sure what they will do.
Good luck!
Sportsmom:
I have a couple questions on your tri-care is a member active-duty or dependent?
If the member is active duty, they have very different rules they have to follow then if it is a dependent.
Once you let me know if the active-duty dependent I'll be a will to help you further. I used to work for TRICARE in one of the military treatment facilities.
If they are active-duty and you’re putting them on meds. Make sure it does not jeopardize their duty status. I would make sure member is working with his local MTF office. You can send in a request to TRICARE requesting the MBR have a 90806 under one provider and 90805, 90853 under a different provider. Make you use the Tricare ref form.
What region are you in?
QueenAlicia:
I have tricare and when I fill out forms I know that I have to put his SSN# because he is active duty and I am the dependent. The insurance portion ID # would be him but I do put my SSN there in the slot for the patient info. But all insurance coverage is always his (active duty) SSN#.
I am in tricare west region. Hope that helps even though its from the patients view.
Sportsmom:
--- Quote from: QueenAlicia on July 22, 2011, 04:50:22 PM ---I have tricare and when I fill out forms I know that I have to put his SSN# because he is active duty and I am the dependent. The insurance portion ID # would be him but I do put my SSN there in the slot for the patient info. But all insurance coverage is always his (active duty) SSN#.
I am in tricare west region. Hope that helps even though its from the patients view.
--- End quote ---
You are right with the ID # in a way. DEERS is no longer having the MBR's SS # on ID cards we now have a ID # has we need new ID cards they are giving us our new ID #.
But she is talking about office visit codeing.
The west region is the best. I love working with TRIWEST, they rock.
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