General Category > New!
major news in medical billing
PMRNC:
--- Quote ---I've added the 2 together with a + in the middle as instructed and still denied. Help Please?!
--- End quote ---
What do you mean the + in the middle.. the plus is only a descriptor in the CPT guide to indicate it's an "add on code". Can you be more specific as to the denials you are receiving, type of provider. Since you are utilizing the E/M I am assuming two things; 1) medication/pharmacological management is being done and the provider type is a prescribe acting within the scope of his license. If using the add on psychotherapy codes it's assumed then there is documented psychotherapy as well being performed. The biggest reason providers are having tough time with these new codes is the E/M, this is ONLY going to affect prescribers! If you are billing for a therapist or non prescribing provider you won't be able to utilize the E/M codes. The prescribers having a problem with this seem to be the ones that never utilized E/M even though MD's (Psychiatrists) were always able to utilize it so long as all elements of the E/M are utilized. I know some other problems were that carriers had not loaded newer fee schedules for a while but for most part all carriers seem to be on board from what I'm seeing. The time thing has a few non prescribers a little confused as well. Need more info as to the denials you are getting.
medbillllc:
An Accredited Medicare DME Provider broke down the Competitive Bidding Results in their are and came up with some really good questions. This is a good read.
http://medbill.net/2013/04/15-questions-to-cbic-from-accredited-medicare-dme-provider/
PMRNC:
that has nothing to do with mental health billing or her denials.
medbillllc:
--- Quote from: PMRNC on April 22, 2013, 09:38:01 PM ---that has nothing to do with mental health billing or her denials.
--- End quote ---
This thread is for industry news. I think ckeenan32104 posted a question in the news thread.
ckeenan32104 may want to repost in a new thread in order to get more responses.
medbillllc:
The Major News keeps coming.
On Thursday Rep. Tom Price introduced H.R. 1717. It has been Referred to the House Committee. The Market Pricing Program Bill would replace Competitive Bidding.
Here is the article with information on the Bill and contact information for Congress Members. Currently HR 1717 has 25 Cosponsors. We need more.
http://medbill.net/2013/04/market-pricing-program-bill-h-r-1717-introduced/
Also on Thursday CMS Announced that they will be Delaying the implementation of PECOS Phase 2 Edits.
http://medbill.net/2013/04/cms-delays-pecos-phase-2-implementation/
Navigation
[0] Message Index
[#] Next page
[*] Previous page
Go to full version