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medbillllc:
Some More News....
CMS just released some more information on ICD-10. They released an email update. You can find the original release and links to thier resources below:
http://medbill.net/2013/03/icd-10-deadline-confirmed-by-cms-administrator/
Also.. for DME Billers out there, VADMEC restarted their 'we the people' petition on WhiteHouse.gov to do away with the competitive bid and transition to a proposed Market Pricing Program. They need some signatures to get this noticed. They could use our help.
http://medbill.net/2013/03/vadmec-asks-you-to-help-promote-the-market-pricing-program/
medbillllc:
For those of you Billing for North Carolina Medicaid it looks like they are trying to move towards Managed Care Plans for Medicaid
http://medbill.net/2013/04/nc-governor-wants-medicaid-patients-in-managed-care-plans/
PMRNC:
Medicaid Managed care plans are not new in a lot of areas. They have been doing it a while and I think you will see MORE states doing it with Medicaid Expansion. What I wonder on a persona level is why don't they create different tiered plans for Medicaid by income level. I see nothing wrong with Medicaid patients having to pay a small copay/out of pocket, makes sense. Too many entitlement programs in this country leads to people taking advantage and that is what creates the financial mess we are in. I'm glad I don't have anymore Medicaid, such a pain in the butt with little reimbursement. I had one client who was actually LOSING money with Medicaid!
medbillllc:
A couple new items of news.
CMS released the round 2 Competitive Bidding Winners for DME last week.
The Press Release can be found here: http://medbill.net/2013/04/cms-releases-list-of-contract-suppliers-selected-under-medicare-competitive-bidding-program/
A major issue is the distance in Miles that many of the bid winners are from the service area. Some of these averages are 400 - 700 miles away.
Also.. i'm not sure if this will get any traction but there was a court ruling recently regarding the patient portion of Medicare Claims. This ruling supposedly opens the door for providers to bill medicare for bad Patient Pay AR. "Opens the Door" is the key phrase here.
read more here:
http://medbill.net/2013/04/court-ruling-opens-door-for-providers-to-seek-reimbursement-for-medicare-bad-debts/
ckeenan32104:
any one know what the deal is with this new billing in mental health? I have all the codes but the insurances including medicare keep denying them. I hear this is happening with many doctors seems the insurance companies have no idea what to do with them. So they just send out denials. Can anyone help? Heres the coding i have.
PSY Add on Codes (E/M & Psychotherapy)
90833 Psychotherapy, 30 min
90836 Psychotherapy, 45 min
90838 Psychotherapy, 60 min
CPT Code
90791 New Patient Evaluation No Medical Service
90792 New Patient Evaluation With Medical Service
99212 Evaluation/Management 10 min
99213 Evaluation/Management 15 min
99214 Evaluation/Management 25 min
99215 Evaluation/Medical Management 40 min
I've added the 2 together with a + in the middle as instructed and still denied. Help Please?!
Thank you! Colleen
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