Billing > Billing

Speech & Hearing Therapy

(1/2) > >>

jyoung65:
Hello,

I have a meeting with a large speech and hearing practice. This would be a good contract, I want to get all the knowledge that I can, to acquire this contract. The prospect said a majority of their billing is Medicaid. Would like to know the routine cpt codes, that are billing for speech and hearing therapy and if auth is required for office visits. I have done some research and notice that 92627 is billed in 15 increments, how many increments are typically billed per visit for this code? Does all the speech and hearing codes require GN modifiers? What are the top denials for speech and hearing? Do speech and hearing use 99 or 98 codes or do they just use 925 and 926 codes?

Any question that I should ask the prospect about billing? Anything else I should know about speech and hearing billing?

Thanks in advance I appreciate any suggestions and feedback.  :)

Michele:
92506-92508 are the most common speech therapy cpt codes.  The GN modifier would only be used on Medicare, unless your state Medicaid also requires it.  NY does not.  I do not believe that you would use the E&M codes for this.

Hope that helps.

jyoung65:
Do you charge percentage or flat fee for speech and hearing billing? Thank you for your feedback!

Michele:
Well that would depend on what state you are in since % billing is illegal is some.  But quite honestly % billing is not the most desired way to charge.  You really do not always get paid for all of your work and your income can fluctuate greatly when in actuality your work remains the same. 

jyoung65:
I shopped my competitors and they are charging a percentage, and they may be one of the medical billing  companies, that will be meeting with the same practice. Shouldn't I be competitive with the other billing companies? I agree percentage is not profitable with some providers, when providers have a low reimbursement. My competitors make it tough when they charge a percentage for all providers. I could not believe that they also charge the same percentage for old AR. The client that I have now I charge 40% for all old AR and my competitor charge 7%, which is killing me, it is some much work involved and to charge 7% is like working for free. Thanks     

Navigation

[0] Message Index

[#] Next page