Medical Billing Forum
Billing => Billing => : TMCGEATH December 21, 2011, 03:09:29 PM
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Hello Everyone!
I work for a mental health counselor. I only bill for CPT codes 90806 and 90801 with generally no modifiers. If there is a modifier it's for the one medicaid HMO he is contracted under. If it's an EAP, the website I bill through always has the modifier already supplied for me. THe diagnois code is always 311. He has a very small practice. I use one clearing house to bill for Aetna and bill other insurance companies directly through thier websites. I still mail out the red 1500 Health Insurance Claim form for some billing. He is only contracted with one HMO program through Medicare which I don't think I've ever billed under and one HMO program through Medicaid which I bill all the time directly through their website.
I really haven't taken the time to research the new requirments for the new year because I didn't really think it would apply to me but now I'm wondering! I know this could be a silly question but can anyone give me an idea of what I should be looking at for this small practice?
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It sounds like you are billing electronic (via their website counts) so yes. You must be fully compliant with HIPAA 5010