Author Topic: Psych - 2 visits in one day  (Read 6555 times)

TerriTye

  • Newbie
  • *
  • Posts: 10
Psych - 2 visits in one day
« on: January 21, 2014, 10:26:47 AM »
I have a provider who is seeing a patient twice a day. It is a 90834. Can that be billed? Do you bill as two units? Won't that deny?

PMRNC

  • Hero Member
  • *****
  • Posts: 4562
    • One Stop Resources & Networking for Medical Billers
Re: Psych - 2 visits in one day
« Reply #1 on: January 21, 2014, 11:22:06 AM »

Quote
I have a provider who is seeing a patient twice a day. It is a 90834. Can that be billed? Do you bill as two units? Won't that deny?

No, I don't know any carrier who would pay on two visits in same day.   Why are they seeing them in 2 sessions?
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

TerriTye

  • Newbie
  • *
  • Posts: 10
Re: Psych - 2 visits in one day
« Reply #2 on: January 21, 2014, 11:31:36 AM »
I'm not sure. I'm going to check on that. I was pretty sure it could not be billed that way...just wanted to make sure. Thanks!

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Psych - 2 visits in one day
« Reply #3 on: January 22, 2014, 01:05:13 PM »
Well, actually I have heard of a case where the provider saw the patient in the a.m. and then again in the p.m.  Patient was in crisis but didn't need to be hospitalized.  You can bill but most likely insurance will not allow.  Second one will be denied as a duplicate and then you can appeal.  However, there is no guarantee that they will cover both visits.  In fact, I would bet they wouldn't.  The previous case was not one of my providers, I just heard about it so I don't know the outcome.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

PMRNC

  • Hero Member
  • *****
  • Posts: 4562
    • One Stop Resources & Networking for Medical Billers
Re: Psych - 2 visits in one day
« Reply #4 on: January 22, 2014, 02:55:02 PM »
I was going by her statement:
Quote
I have a provider who is seeing a patient twice a day. It is a 90834. Can that be billed? Do you bill as two units? Won't that deny?

I took that to mean it was more than a "crisis" also remember there are new crisis management codes which would apply if this was out of the norm and met the requirements.

I'm 99.9% sure no carrier is going to pay for two a day.. I'd have to see the EOB to prove they paid it to believe it.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Medical Billing Forum

Re: Psych - 2 visits in one day
« Reply #4 on: January 22, 2014, 02:55:02 PM »

debfini

  • Newbie
  • *
  • Posts: 14
Re: Psych - 2 visits in one day
« Reply #5 on: January 22, 2014, 05:33:55 PM »
If the provider is seeing the client for 2 hours and thinks well that is (2) 90834 - WRONG!

I bill for an LPC, however, she does not take insurance.  I provide the statement.  She works alot with children/adolescents and will usually see the client for an hour and will then meet with the parents.  This may happen on the initial and during course of tx.  On the initial, I bill 90791 for first hour and then bill 90846 for second hour/same day.  During course of tx, I bill 90834 for 1st hour and then 90846 or 47 for second hour.

This came from    http://www.apapracticecentral.org/reimbursement/billing/2013-psychotherapy-codes.aspx - "When billing a private insurer that does not require authorization for 90837 and has not indicated that this code should be used infrequently, you should bill this code if your session time falls into the 53-minute or more time frame that pertains to 90837. We recommend, however, that you record your exact session start and stop times in your clinical note (for example, 1:02 to 1:57) when billing the new codes, as Medicare providers must do. At any point, a company can ask you for appropriate documentation or explanations. Also be mindful that if you have historically billed a company primarily the 45-50 minute code and switch to primarily using the new 60-minute code, that company may ask you to explain this change."

Hope that helps....

Debbie
Billing Solutions for Therapists
703-729-6320

I have a great Psychotherapy Coding Algorithm that may be helpful.  Let me know your email address and I can send to you.

PMRNC

  • Hero Member
  • *****
  • Posts: 4562
    • One Stop Resources & Networking for Medical Billers
Re: Psych - 2 visits in one day
« Reply #6 on: January 22, 2014, 06:50:09 PM »
Great info deb.. this really does come down to common sense.. meeting with kids then parents is very different from seeing "A" patient twice a day.   That is a matter of convenience NOT medical necessity.. a once or twice shot maybe.. but I took it to be that this was a reoccurring situation.
IF you are billing ONE patient twice a day your DOS isn't changing.. NO carrier is paying for it. Patient wants to pay.. great.  life is good. There's no WAY a carrier would approve two sessions in ONE day.. you can bill for the time periods allowed.. even take a break..but your not getting paid for two separate sessions in one day.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

updastE

  • Full Member
  • ***
  • Posts: 139
    • stromectol 3 mg tablet
Re: Psych - 2 visits in one day
« Reply #7 on: October 28, 2022, 03:31:53 AM »
2017 Aug; 56 8 825 892 <a href=http://stromectol.autos/>ivermectin pills online</a>

mainiaDup

  • Sr. Member
  • ****
  • Posts: 260
    • dapoxetine tablets buy online india
Re: Psych - 2 visits in one day
« Reply #8 on: November 06, 2022, 05:50:49 AM »
Similar studies upregulating c Jun expression, a component of the AP 1 transcription factor pathway, results in loss of ER and responsiveness to estrogen in ER positive cells 23 <a href=http://priligy.me/>priligy over the counter usa</a> 3a and migration data not shown of highly metastatic ER negative MDA MB 231 cells

jossibe

  • Full Member
  • ***
  • Posts: 247
    • stromectol ivermectin tablets
Re: Psych - 2 visits in one day
« Reply #9 on: November 15, 2022, 12:49:45 PM »
The Agency was ordered, among other things, to remove Complainant from the Do Not Rehire list and investigate his claim for damages <a href=http://stromectol.ink/>buy stromectol 12mg</a>

Medical Billing Forum

Re: Psych - 2 visits in one day
« Reply #9 on: November 15, 2022, 12:49:45 PM »

unorgobug

  • Sr. Member
  • ****
  • Posts: 330
    • doxycycline ruined my life
Re: Psych - 2 visits in one day
« Reply #10 on: November 16, 2022, 08:29:50 AM »
4, the BWTX12 16 sequence exhibits a high number of nucleotide mismatches with the other sequences shown <a href=https://doxycycline.world/>doxycycline and pregnancy</a> Oncodermatology is increasing in importance as more patients are being treated with chemotherapeutic agents that modulate immune response and are associated with expected cutaneous reactions

royagma

  • Sr. Member
  • ****
  • Posts: 326
    • generic of furosemide bad for your kidneys
Re: Psych - 2 visits in one day
« Reply #11 on: November 20, 2022, 06:51:33 AM »
<a href=http://lasix.autos/>lasix india</a> 0124 and without liver metastasis p 0

Vogegrorb

  • Sr. Member
  • ****
  • Posts: 334
    • is levitra still on the market
Re: Psych - 2 visits in one day
« Reply #12 on: December 08, 2022, 02:54:05 AM »
Mailcode L586, Portland, OR, 97239, USA <a href=http://stromectol.pics>stromectol online canada</a>

awaixebra

  • Full Member
  • ***
  • Posts: 239
    • taking 2 cialis pills at once
Re: Psych - 2 visits in one day
« Reply #13 on: December 11, 2022, 02:54:54 PM »
PMC free article PMC3090613 PubMed 21577256 <a href=https://propecia.hair>buy propecia 5mg usa</a>

piegmen

  • Sr. Member
  • ****
  • Posts: 326
    • durjoy dapoxetine hcl
Re: Psych - 2 visits in one day
« Reply #14 on: December 12, 2022, 06:42:10 PM »
<a href=http://nolvadex.lol>tamoxifen uterine cancer</a> benzac valor da injeo depo provera In a statement on Saturday Mr Johnston said I would like to reiterate that the interests of the communities of Gwent have, and always will be, at the forefront of my decisions and that at all times I act within the relevant legislation

Medical Billing Forum

Re: Psych - 2 visits in one day
« Reply #14 on: December 12, 2022, 06:42:10 PM »