Medical Billing Forum
General Category => General Questions => : dedwards September 27, 2010, 12:40:31 PM
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Hello,
We are just beginning to bill Medicare Part B. When I bill 90862 to Medicaid, I use the modifier HE and have never had a problem getting it paid.
Medicare has rejected charges for a Medicare patient stating it is the wrong modifier. Of course, they offered no help but referred me to their
web site. The only modifier I could find that seemed to fit (per the Medicare site) is A1. Now our clearing house (Emdeon) is rejecting it stating it is incorrect.
We are a community mental health center and the charges are for the psychiatrist's visit.
Thank you for any help you can provide.
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What are you trying to accomplish with the modifier? I bill 90862's to Medicare but I have never attached a modifier to it.
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Let me try it without a modifier. This is the first time I've ever filed Part B for a mental health charge.
Thank you for your help! I really appreciate it.
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You should NOT need a modifier for 90862. IF the provider however is ONLY doing a med check (NO THERAPY), minimal time..it's billed as M0064.