Medical Billing Forum
Billing => Billing => : kwardbilling July 08, 2019, 05:51:21 PM
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Hi Everyone,
It's been a long time since I've needed to check in, but here is a question I have. I have been billing for an LICSW (Massachusetts), I have used an HO modifier in the past when needed, but Optum, just refused a claim saying I was using the wrong modifier. I thought HO was the correct modifier, can anyone tell me if this is correct? If not, can you tell me which modifier I should use. This if for an individual session 90834 outpatient mental health.
Thanks in advance,
Karen
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Why would you use an HO modifier? In my neck of the woods, modifiers are not used for that code for that credential.
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I agree, I don't know why you are using the HO modifier. I don't believe any modifier is needed.
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I know Magellan requires the credentialed level modifier..but I think LICSW would be the AJ modifier
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I finally got through to a Supervisor. She said I was using the correct modifier "HO", she is masters level, however, she said for this particular plan they don't use modifiers. She had me re-submit to her and claims are paid. Strange, I've been submitting with the HO modifier (in Massachusetts), with no issues, this was the first time. Thanks everyone for your input.