Medical Billing Forum
Billing => Billing => : Christy January 10, 2017, 08:29:44 PM
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does anyone have a copy or link to the 2016 Medicaid Fee schedule?
I can only find 2017.
I am specifically looking for rates for BH codes:
90791
90837
90834
90847
90846
90853
I would be eternally grateful to anyone who could help. :)
thank you
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I do not believe the fee schedule has changed so 2016 & 2017 are the same. https://www.emedny.org/ProviderManuals/ClinicalPsych/PDFS/Clinical_Psychology_Fee_Schedule.pdf
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thank you!
now that one is different than this one (the one I found for 2017)
https://www.emedny.org/ProviderManuals/Physician/
if you go down to:
Procedure Codes & Fee Schedules
Primary Care Rate Increase (PCRI) Fee Schedule Last updated on 1/1/2014
Fee Schedules: Medicine
that fee schedule opens into an excel file and the codes there show much higher rates. any thoughts on that?
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Since the codes you listed were mental health I went to the provider manual for psychologists and got the fee schedule from there. The one you are looking at is the physician's fee schedule. I think it will depend on the credentials of the provider that you are billing for.
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ok, I thought maybe that was the case. thank you! yes, I am looking for LCSW which of course isn't covered by Medicaid. I am in a fight with Beacon over the Beacon rates vs Medicaid rates.
Beacon was paying $60 for 90834 for years. Now they are threatening one of my LCSWs that they are going to recoup past payments down to the Medicaid rate. >:(
thank you!
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Wow! Is it for a Medicaid replacement plan? We bill for several LCSWs that see Beacon Patients as well. Seems unfair that they can go back but I've seen it before. Keep us posted!
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yes, Medicaid replacement plan and I believe Beacon is in error.