Medical Billing Forum

Billing => Billing => : Onthemoneymb December 12, 2013, 04:14:53 PM

: Home Billing Help?
: Onthemoneymb December 12, 2013, 04:14:53 PM
Hello I have a psychologist who hires other social workers to go to the clients homes and do therapy sessions there. She gets paid by the state for this, but first she has to send a claim to the client's insurance company. Once their insurance rejects it, she can then send the rejection to the state for reimbursement. But my question is, how would you put it on the claim form to go to the insurance company first? Do you just put 12 for POS and just put the patient's address in box 32 and the payment address in box 33? Also are the psychotherapy codes the same? 90791 for initial, 90837 for a 60 min, etc? I've never billed for home visits before so any help would be appreciated. Thank you!
: Re: Home Billing Help?
: RichardP December 16, 2013, 02:55:42 PM
Do you just put 12 for POS and just put the patient's address in box 32 and the payment address in box 33?

Yes to all.  One of our clients has a home health business.  This is the way we bill, and the client gets paid.
: Re: Home Billing Help?
: PMRNC December 16, 2013, 04:30:29 PM
This is not as black/white as regular home visits.
I would have to say.. WHO is this contract with??
She gets paid by the state for this, but first she has to send a claim to the client's insurance company.

EXTREMELY vague.. why is state paying, what type of contract is this?
: Re: Home Billing Help?
: Merry December 16, 2013, 10:11:21 PM
This does not sound like a home health agency. Who is referring the patients to the providers? Something is not connecting here.

Merry