Medical Billing Forum
Billing => Billing => : megans.lcsw November 08, 2011, 09:34:32 PM
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Hi...I'm really hoping someone can help me out. I am a Clinical Social Worker providing psychotherapy services to residents of group homes/assisted living facilities, etc. The powers that be decided against hiring a billing company with part B expertise and instead are using the company that bills their part A work. We are having a hard time identifying correct codes. I thought that 90801, 90804, 90806, 90808, etc were the correct codes. Am I wrong? have they changed recently? PLEASE help. Any assistance is appreciated!
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When you refer to 'part B' are you billing specifically Medicare? Are you using the AJ modifier? (90806AJ)
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Yes...specifically and only Medicare. I don't know that they are using the AJ modifier. Is this referencing the location or provider (CSW as opposed to Psychologist, etc.)? Thanks so much!!
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I BILL 90801, 90806, ETC TO MEDICARE. I DO NOT HAVE PROBLEMS WITH IT. HOW ARE YOU LISTED WITH MEDICARE? DID YOU DO YOUR PECOS APP? I THINK MAYBE THAT IF YOUR BILLING COMPANY IS SET UP FOR PART A ONLY....THAT WOULD BE YOUR ISSUE.
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There are also the 90816 & 90818 which are like the 90804 and 90806 but for facility settings. Maybe that is what they are looking for (the billing company)? But as a billing company they should have explained to you what it is they were looking for and not be sending you on a goose chase. JMO