Author Archives: DonnaB

Fee Schedules

Medicare Regional Reimbursement Schedules are normally made available every year towards the end of January when all the fee issue shake out.  Every year since I have been doing this there is always a change and a rollback on the Medicare fee … Continue reading

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Who’s Who?

Who’s on first?  This is my new saying as I try to work with the different insurances only to find out they have been bought by one entity or another.  Recently I was invited to go to a meeting in … Continue reading

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Transition from ICD9-ICD10

This was in a newsletter from ValueOptions and I believe it responds to an age old question I have received for many years as to why Clinicians are taught in school to diagnose with DSM when the standard for billing … Continue reading

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Co Pays Coinsurance and Deductibles

We are often asked this question about Co pays, Coinsurance and Deductibles.  We must talk on this topic at least 5-10 times a week to one customer or another. 1) Can you charge the client less than the co pay? The answer … Continue reading

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Medicare Deductible FAQ

Q: When is it acceptable to collect the deductible from the beneficiary? A: When assignment is accepted, Medicare Part B recommends: • Since it is difficult to predict when deductible/coinsurance amounts will be applicable – and over-collection is considered program … Continue reading

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Florida Providers-BCBS Fl -New Directions

Last year as most know BCBS of Florida outsourced the provider relations of the behavioral health to New Directions. This transition has been wrought with issues. One of the issues is providers that were in network with BCBS of Florida … Continue reading

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