Coding > Coding
Mental Health modifers
PMRNC:
I have.. it's relatively new with EMPIRE and also UBH now..as recent as maybe July/August.
Michele:
How do they justify paying the same amount for 45 minutes and 60 minutes?
Christy:
Empire BCBS - it's been at least 3 years that 90834 and 90837 pay at the same rate (for LCSWs & LMHCs)= $80
also MVP and NYSHIP via Value Options (now called Beacon Health Options) pay the same for 90834 and 90837- MVP- $60 and NYSHIP $67 (LCSW & LMHC)
Michele:
We have some carriers that will not reimburse for the 90837 but we haven't seen the same allowables. I will have to check some eobs to verify. I don't handle them day to day anymore.
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