Blog
“Let’s Make A Deal”
If you’re billing insurance out of network, you will eventually receive faxes or emails like this: ...
The Elephant in the Room: No Standardization in Telehealth Coding
A telehealth claim during the COVID-19 Public Health Emergency (PHE) is submitted to the primary plan, a commercial plan that requires Place of Service (POS) code 02 or 10 and modifier -95. The claim applies to the deductible. The patient has...
Avoiding the Medicare “Advantage” Traps
A patient comes to you, says I have Medicare primary and then United Healthcare. You bill in that order, but are puzzled when Medicare denies the claim with the following reason code: CO-109: CLAIM/SERVICE NOT COVERED BY THIS PAYER/CONTRACTOR. Now...
No Surprises Act: Death by Attestation
By now, we’ve all heard more than we probably want to about the No Surprises Act and Good Faith Estimates. But there is another part to the whole Consolidated Appropriations Act puzzle that concerns mental health professionals. Consolid…what? What...
We won a great victory – Does anyone know about it?!?
Transaction #: 123456789 Card Value: $1,500.00 Date: April 1, 2021 When I see this… Why should the clinician have to pay to be paid?Why do doctors have to spend time manually entering all these – there’s not even a QR code or a way to swipe them!...
Getting Paid for Telehealth
Trying to figure out how to get paid for telehealth? * *Doing audio-only? Coding and policies for audio-only telehealth are different. This blog focuses only on two-way audio/video telehealth. If you thought it was bad in 2021, when you just had to...
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