Author Archives: admin

Medicare Fee Schedules for Behavioral Health Providers

The Medicare Fee Schedules for 2018 are ready for Behavioral Health Providers for the following states and locations: Florida     Colorado              Nevada                  Houston Texas   … Continue reading

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Medicare Numbers Are Changing. Are You Ready?

Next year I know you all have heard that Medicare identification (HICN) numbers are changing but the way they are changing will have your head spinning. The Medicare HICN will now be 11 digits and there is a formula for … Continue reading

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Tricare Changes on the Horizon

In a  recent bulletin from Tricare it was announced that they would no longer be using the federal fiscal year and they are switching to a calendar year.   What this will mean is that instead of having to meet a … Continue reading

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TRUMPCARE and Mental Health/Substance Abuse Coverage

One has to wonder with the recent state of affairs in our political environment where does MHSA coverage stand in all this. As we all watch closely to determine whether all the advances that we have made over the years … Continue reading

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Coding by Duration

Recently a clinician told us that providers had been audited for the use of 90837. The CPT codes have a duration associated with them and if the notes and the duration meet the criteria there is no reason for insurance companies to … Continue reading

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Large Deductibles and Co Pay Tips

Large Deductibles can be resolved in a couple ways In our business we get asked how to deal with a client that has a large deductible.  Our responses are listed below. Client can waive usage of their insurance The provider may charge … Continue reading

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Medicare Part B Deductible 2017

It has been announced that the new fee schedules for 2017 are ready to be downloaded but on all the websites we visited there has been nothing about the new 2017 Part B deductible.   This was only announced on the … Continue reading

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CPT Codes and United Behavioral Health

Just in case you are not aware of it this is the only insurance company that requires an authorization for you to use the code 90837.  According to their Medical Policies the 60 minute session is not medically necessary.   You … Continue reading

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Provider Enrollment Bottleneck

We provide a lot of Provider Enrollment services to our customers.  Most of this entails submitting the applications for individuals to get them enrolled as providers in the various Networks so that they can provide services to clients with different … Continue reading

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PQRS Medicare

Just in case you missed it the latest and last revision to the rules for PQRS are listed below: Major highlights include: Individual eligible professionals and group practices that meet the criteria for 2016 PQRS satisfactory reporting/participation will avoid the … Continue reading

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