For Mental Health billers:

I have just discovered the 20% Psychiatric Reduction from Medicare
for an office in Kansas.  Arizona does not have such a reduction!  I
do not understand why Medicare, a Federal Program, reduces their
payment schedule in one part of the country and not in another.  I am
also amazed that they are doing this with claims with DXs between 290
and 319.  That pretty much covers all mental disorders.
How do you, the practitioners on this list, handle such a thing?  Do
you find other DX codes or procedure codes  that are still
appropriate to the situation, or do you just "take it on the chin"?

One doctor tells me that she will discuss meds with the patient and
then bill the code 90862.

I also see that the reduction will be phased out by 2014.

Frankly, I think this is one of the craziest things I have heard from
Medicare, and that is saying a lot!

Any input will be Greatly appreciated!

Many Thanks,

        Deb


Tru Medical Billing,
                  at your service

          Deb Tru
          602-525-9888
          Fx: 866-582-6936
          www.tmedbilling.com

[Non-text portions of this message have been removed]

I have just started billing for an assistant surgeon in our practice using the
group tax ID# and his individual NPI as rendering provider. Is it possible to
have more than one billing and or service address associated with this tax ID#?
If we open another facility can we have payments sent to the place where they
were rendered even if it is not the billing address associated with that tax
ID#?

I work for Drs that have 2 clinics, one TIN# is for both practices. Our payments
are sent to one clinic were the business office is located.

Sent from my iPad

On Aug 29, 2012, at 3:47 PM, "jackiebware" <jackiebware@...> wrote:

> I have just started billing for an assistant surgeon in our practice using the
group tax ID# and his individual NPI as rendering provider. Is it possible to
have more than one billing and or service address associated with this tax ID#?
> If we open another facility can we have payments sent to the place where they
were rendered even if it is not the billing address associated with that tax
ID#?
>
>
>
>
>
>
>

[Non-text portions of this message have been removed]

I think u should contact each Carriers providers relations dept and ask how each
works. My experience with the group TIN is usually each physician is paid under
the group not as individual physicians. So the billing address would be one,
however you can have multiple locations under the group. That's resolved with a
simple form that can be faxed. Some provider relations reps accept an email. You
know there's really no straight answer in the world of insurance;-) good luck!

  iPhone

On Aug 29, 2012, at 11:07 PM, Jana <superclicker58@...> wrote:

> I work for Drs that have 2 clinics, one TIN# is for both practices. Our
payments are sent to one clinic were the business office is located.
>
> Sent from my iPad
>
> On Aug 29, 2012, at 3:47 PM, "jackiebware" <jackiebware@...> wrote:
>
>> I have just started billing for an assistant surgeon in our practice using
the group tax ID# and his individual NPI as rendering provider. Is it possible
to have more than one billing and or service address associated with this tax
ID#?
>> If we open another facility can we have payments sent to the place where they
were rendered even if it is not the billing address associated with that tax
ID#?
>>
>>
>>
>>
>>
>>
>>
>
> [Non-text portions of this message have been removed]
>
>
>
> ------------------------------------
>
> Yahoo! Groups Links
>
>
>

If you have an EPM system, you would set up your payment to address different
than the serviced rendered address.   When you credential a provider with a
payer, you provide the both the payment address/lockbox address and the clinic
address(es).  Any additions or changes are submitted to the payers.

I have 4 clinics and a central billing office, as well as a lockbox.   Our
payers (most of them) keep it straight.  We set our Practice and each provider
this way.  Same TIN different clinic addresses and one lockbox address.


Robin Harpole
Director of Business Services


Sent from my iPad

On Aug 29, 2012, at 8:38 PM, "Luz Maldonado" <qualitydeserved@...> wrote:

> I think u should contact each Carriers providers relations dept and ask how
each works. My experience with the group TIN is usually each physician is paid
under the group not as individual physicians. So the billing address would be
one, however you can have multiple locations under the group. That's resolved
with a simple form that can be faxed. Some provider relations reps accept an
email. You know there's really no straight answer in the world of insurance;-)
good luck!
>
> iPhone
>
> On Aug 29, 2012, at 11:07 PM, Jana <superclicker58@...> wrote:
>
> > I work for Drs that have 2 clinics, one TIN# is for both practices. Our
payments are sent to one clinic were the business office is located.
> >
> > Sent from my iPad
> >
> > On Aug 29, 2012, at 3:47 PM, "jackiebware" <jackiebware@...> wrote:
> >
> >> I have just started billing for an assistant surgeon in our practice using
the group tax ID# and his individual NPI as rendering provider. Is it possible
to have more than one billing and or service address associated with this tax
ID#?
> >> If we open another facility can we have payments sent to the place where
they were rendered even if it is not the billing address associated with that
tax ID#?
> >>
> >>
> >>
> >>
> >>
> >>
> >>
> >
> > [Non-text portions of this message have been removed]
> >
> >
> >
> > ------------------------------------
> >
> > Yahoo! Groups Links
> >
> >
> >
>
>
>
> Click here to report this email as spam.
>


This message has been scanned for malware by SurfControl plc.
www.surfcontrol.com


[Non-text portions of this message have been removed]

Thank you for your response. I neglected to mention that we do not participate
with any insurance provider. Does it make a difference? We are a small podiatric
surgical practice and don't submit electronically; all claims are sent on paper
with an op report attached.



________________________________
  From: Robin Harpole <rharpole@...>
To: MedicalBillers@yahoogroups.com
Cc: MedicalBillers@yahoogroups.com
Sent: Thursday, August 30, 2012 2:21 AM
Subject: Re: [MedicalBillers] Multiple billing addresses.........


 
If you have an EPM system, you would set up your payment to address different
than the serviced rendered address.   When you credential a provider with a
payer, you provide the both the payment address/lockbox address and the clinic
address(es).  Any additions or changes are submitted to the payers.

I have 4 clinics and a central billing office, as well as a lockbox.   Our
payers (most of them) keep it straight.  We set our Practice and each provider
this way.  Same TIN different clinic addresses and one lockbox address.


Robin Harpole
Director of Business Services


Sent from my iPad

On Aug 29, 2012, at 8:38 PM, "Luz Maldonado" <qualitydeserved@...> wrote:

> I think u should contact each Carriers providers relations dept and ask how
each works. My experience with the group TIN is usually each physician is paid
under the group not as individual physicians. So the billing address would be
one, however you can have multiple locations under the group. That's resolved
with a simple form that can be faxed. Some provider relations reps accept an
email. You know there's really no straight answer in the world of insurance;-)
good luck!
>
> iPhone
>
> On Aug 29, 2012, at 11:07 PM, Jana <superclicker58@...> wrote:
>
> > I work for Drs that have 2 clinics, one TIN# is for both practices. Our
payments are sent to one clinic were the business office is located.
> >
> > Sent from my iPad
> >
> > On Aug 29, 2012, at 3:47 PM, "jackiebware" <jackiebware@...> wrote:
> >
> >> I have just started billing for an assistant surgeon in our practice using
the group tax ID# and his individual NPI as rendering provider. Is it possible
to have more than one billing and or service address associated with this tax
ID#?
> >> If we open another facility can we have payments sent to the place where
they were rendered even if it is not the billing address associated with that
tax ID#?
> >>
> >>
> >>
> >>
> >>
> >>
> >>
> >
> > [Non-text portions of this message have been removed]
> >
> >
> >
> > ------------------------------------
> >
> > Yahoo! Groups Links
> >
> >
> >
>
>
>
> Click here to report this email as spam.
>

This message has been scanned for malware by SurfControl plc.
www.surfcontrol.com

[Non-text portions of this message have been removed]




[Non-text portions of this message have been removed]

If you see on your Medicare EOB, it puts the psych reduction to PR122, which can
be billed to the patient (PR=Pt resp). We bill it to the secondary insurance.

Melinda Brown, CMBS
Ins Biller

--- In MedicalBillers@yahoogroups.com, DTru <dtru@...> wrote:
>
> For Mental Health billers:
>
> I have just discovered the 20% Psychiatric Reduction from Medicare
> for an office in Kansas.  Arizona does not have such a reduction!  I
> do not understand why Medicare, a Federal Program, reduces their
> payment schedule in one part of the country and not in another.  I am
> also amazed that they are doing this with claims with DXs between 290
> and 319.  That pretty much covers all mental disorders.
> How do you, the practitioners on this list, handle such a thing?  Do
> you find other DX codes or procedure codes  that are still
> appropriate to the situation, or do you just "take it on the chin"?
>
> One doctor tells me that she will discuss meds with the patient and
> then bill the code 90862.
>
> I also see that the reduction will be phased out by 2014.
>
> Frankly, I think this is one of the craziest things I have heard from
> Medicare, and that is saying a lot!
>
> Any input will be Greatly appreciated!
>
> Many Thanks,
>
>        Deb
>
>
> Tru Medical Billing,
>                  at your service
>
>          Deb Tru
>          602-525-9888
>          Fx: 866-582-6936
>          www.tmedbilling.com
>
> [Non-text portions of this message have been removed]
>

i have 5 clinics each has its own tax id# & npi, our billing office is another
location and is set up to receive all form of reimbursements, checks eob etc.

it is all a matter of how you fill your application to the insurance
company............

after everyones response you wrote again stating " you do not participate with
any insurance provider?????????"

so what is the point of your questions??????? maybe your statement is not clear!

participating means the dr & facility is registered with insurance company to be
paid, for services rendered to the insurance company members/patients!

"All claims are sent on paper with op report to who???????????????  where to
insurance company your provider participates with???????"

jts





To: MedicalBillers@yahoogroups.com
From: jackiebware@...
Date: Thu, 30 Aug 2012 05:48:33 -0700
Subject: Re: [MedicalBillers] Multiple billing addresses.........





Thank you for your response. I neglected to mention that we do not participate
with any insurance provider. Does it make a difference? We are a small podiatric
surgical practice and don't submit electronically; all claims are sent on paper
with an op report attached.

________________________________
From: Robin Harpole <rharpole@...>
To: MedicalBillers@yahoogroups.com
Cc: MedicalBillers@yahoogroups.com
Sent: Thursday, August 30, 2012 2:21 AM
Subject: Re: [MedicalBillers] Multiple billing addresses.........



If you have an EPM system, you would set up your payment to address different
than the serviced rendered address. When you credential a provider with a payer,
you provide the both the payment address/lockbox address and the clinic
address(es). Any additions or changes are submitted to the payers.

I have 4 clinics and a central billing office, as well as a lockbox. Our payers
(most of them) keep it straight. We set our Practice and each provider this way.
Same TIN different clinic addresses and one lockbox address.

Robin Harpole
Director of Business Services

Sent from my iPad

On Aug 29, 2012, at 8:38 PM, "Luz Maldonado" <qualitydeserved@...> wrote:

> I think u should contact each Carriers providers relations dept and ask how
each works. My experience with the group TIN is usually each physician is paid
under the group not as individual physicians. So the billing address would be
one, however you can have multiple locations under the group. That's resolved
with a simple form that can be faxed. Some provider relations reps accept an
email. You know there's really no straight answer in the world of insurance;-)
good luck!
>
> iPhone
>
> On Aug 29, 2012, at 11:07 PM, Jana <superclicker58@...> wrote:
>
> > I work for Drs that have 2 clinics, one TIN# is for both practices. Our
payments are sent to one clinic were the business office is located.
> >
> > Sent from my iPad
> >
> > On Aug 29, 2012, at 3:47 PM, "jackiebware" <jackiebware@...> wrote:
> >
> >> I have just started billing for an assistant surgeon in our practice using
the group tax ID# and his individual NPI as rendering provider. Is it possible
to have more than one billing and or service address associated with this tax
ID#?
> >> If we open another facility can we have payments sent to the place where
they were rendered even if it is not the billing address associated with that
tax ID#?
> >>
> >>
> >>
> >>
> >>
> >>
> >>
> >
> > [Non-text portions of this message have been removed]
> >
> >
> >
> > ------------------------------------
> >
> > Yahoo! Groups Links
> >
> >
> >
>
>
>
> Click here to report this email as spam.
>

This message has been scanned for malware by SurfControl plc.
www.surfcontrol.com

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]






[Non-text portions of this message have been removed]

Ok, is anyone else very frustrated with this Obamacare insurance thing... with
carrying children until they're 26?

We had a 20 yr old pt come in for 4 visits this year and presented HIS employer
ins card UHC, for 2012 coverage. However, when his Dad came into pay his own
bill today he presented a Regence Oregon ins card, for his son. I asked how long
the policy had been in effect and he said "since birth." I told him that we also
had UHC on file, through pt's employer and Dad said "well let's just make that
primary." I told him we couldn't do that (by law) and it was up to
the insurances to decide who is primary & if claims need to be reprocessed.

I called both Regence & UHC and neither of them had any idea that there was
other insurance.

I had a patient a few mos ago. who came in and had no idea his Mom carried a
policy on him and he was married & had a policy through his wife. Ins determined
that because his Mom's policy had been in effect the longest her plan was
primary & wife's policy was secondary.

ARRRGGHHH!!!! Parents & children both have NO idea which plans are primary &
secondary (not just in this case)!!!!! No clue! WE (provider's offices) have to
inform them, once we figure it out, but it's getting them to inform us that's
the problem. Patients / Parents all want the "cheapest plan" to be the primary
insurance; regardless of what the laws state. 9 times out of 10, most of them
don't know which is primary or secondary. VERY FRUSTRATING!!! Because then
it's up to doc's offices to fix it. How stupid and time consuming.

So my question to the forum...in my above scenario for today, which do you think
is primary & secondary and why?

Also, is there some clarification on the web were I can get some documentation
on this? (i.e., birthday rule, etc.)
http://www.insure.com/articles/healthinsurance/birthday-rule.html

Thanks for letting me vent!

Melinda Brown, CMBS
Ins Biller

Melinda,

I would submit the claim to the insurance that has been in effect the longest.
 The three companies will have to determine who is primary.  I understand how
you feel; patients can really cause unnecessary stress sometimes.  Patients who
know next to nothing about their insurance coverage is and has always been a
problem. 

The insurance of the parent who's birthday comes first in the year is primary.
 You might try the insurance company's website for documentation of the
birthday rule.

 
 




>________________________________
> From: Melinda <melindadocsmith@...>
>To: MedicalBillers@yahoogroups.com
>Sent: Monday, September 10, 2012 8:30 PM
>Subject: [MedicalBillers] Primary or 2ndry Ins?
>
>
> 
>Ok, is anyone else very frustrated with this Obamacare insurance thing... with
carrying children until they're 26?
>
>We had a 20 yr old pt come in for 4 visits this year and presented HIS employer
ins card UHC, for 2012 coverage. However, when his Dad came into pay his own
bill today he presented a Regence Oregon ins card, for his son. I asked how long
the policy had been in effect and he said "since birth." I told him that we also
had UHC on file, through pt's employer and Dad said "well let's just make that
primary." I told him we couldn't do that (by law) and it was up to
>the insurances to decide who is primary & if claims need to be reprocessed.
>
>I called both Regence & UHC and neither of them had any idea that there was
other insurance.
>
>I had a patient a few mos ago. who came in and had no idea his Mom carried a
policy on him and he was married & had a policy through his wife. Ins determined
that because his Mom's policy had been in effect the longest her plan was
primary & wife's policy was secondary.
>
>ARRRGGHHH!!!! Parents & children both have NO idea which plans are primary &
secondary (not just in this case)!!!!! No clue! WE (provider's offices) have to
inform them, once we figure it out, but it's getting them to inform us that's
the problem. Patients / Parents all want the "cheapest plan" to be the primary
insurance; regardless of what the laws state. 9 times out of 10, most of them
don't know which is primary or secondary. VERY FRUSTRATING!!! Because then
>it's up to doc's offices to fix it. How stupid and time consuming.
>
>So my question to the forum...in my above scenario for today, which do you
think is primary & secondary and why?
>
>Also, is there some clarification on the web were I can get some documentation
on this? (i.e., birthday rule, etc.)
>http://www.insure.com/articles/healthinsurance/birthday-rule.html
>
>Thanks for letting me vent!
>
>Melinda Brown, CMBS
>Ins Biller
>
>
>
>
>

[Non-text portions of this message have been removed]

FIRST & FOREMOST OBAMACARE HAS ABSOLUTELY NOTHING TO DO WITH THIS AGE OLD
SITUATION, FROM THE BEGINNING OF INSURANCE TIME.
(Patients who know next to nothing about their insurance coverage is and has
always been a problem.) it is our job to verify eligibility etc. you cant be
responsible for something no one told you anything about.  when you do find out
about it, then it is still your job to deal with refunds, takeback, resubmit
with proof of file time etc.


NOW: RULE OF THUMB
Patient can have as many insurance policies as they can afford
The insurance of the parent who's birthday comes first in the year is primary
Insurance companies will dispute & determine who is 1st, 2nd or 3rd based on
thier rules & policies
**NEVER RELY ON A PATIENT TO TELL YOU WHAT IS OR ISNT ABOUT AN INSURANCE
POLICY**







To: MedicalBillers@yahoogroups.com
From: melindadocsmith@...
Date: Tue, 11 Sep 2012 00:30:35 +0000
Subject: [MedicalBillers] Primary or 2ndry Ins?





Ok, is anyone else very frustrated with this Obamacare insurance thing... with
carrying children until they're 26?

We had a 20 yr old pt come in for 4 visits this year and presented HIS employer
ins card UHC, for 2012 coverage. However, when his Dad came into pay his own
bill today he presented a Regence Oregon ins card, for his son. I asked how long
the policy had been in effect and he said "since birth." I told him that we also
had UHC on file, through pt's employer and Dad said "well let's just make that
primary." I told him we couldn't do that (by law) and it was up to
the insurances to decide who is primary & if claims need to be reprocessed.

I called both Regence & UHC and neither of them had any idea that there was
other insurance.

I had a patient a few mos ago. who came in and had no idea his Mom carried a
policy on him and he was married & had a policy through his wife. Ins determined
that because his Mom's policy had been in effect the longest her plan was
primary & wife's policy was secondary.

ARRRGGHHH!!!! Parents & children both have NO idea which plans are primary &
secondary (not just in this case)!!!!! No clue! WE (provider's offices) have to
inform them, once we figure it out, but it's getting them to inform us that's
the problem. Patients / Parents all want the "cheapest plan" to be the primary
insurance; regardless of what the laws state. 9 times out of 10, most of them
don't know which is primary or secondary. VERY FRUSTRATING!!! Because then
it's up to doc's offices to fix it. How stupid and time consuming.

So my question to the forum...in my above scenario for today, which do you think
is primary & secondary and why?

Also, is there some clarification on the web were I can get some documentation
on this? (i.e., birthday rule, etc.)
http://www.insure.com/articles/healthinsurance/birthday-rule.html

Thanks for letting me vent!

Melinda Brown, CMBS
Ins Biller






[Non-text portions of this message have been removed]

Thanks Melinda, I guess the patient with no
secondary gets to pay the difference.


At 10:30 AM 9/6/2012, you wrote:
>
>
>If you see on your Medicare EOB, it puts the
>psych reduction to PR122, which can be billed to
>the patient (PR=Pt resp). We bill it to the secondary insurance.
>
>Melinda Brown, CMBS
>Ins Biller
>
>--- In
><mailto:MedicalBillers%40yahoogroups.com>MedicalBillers@yahoogroups.com,
>DTru <dtru@...> wrote:
> >
> > For Mental Health billers:
> >
> > I have just discovered the 20% Psychiatric Reduction from Medicare
> > for an office in Kansas. Arizona does not have such a reduction! I
> > do not understand why Medicare, a Federal Program, reduces their
> > payment schedule in one part of the country and not in another. I am
> > also amazed that they are doing this with claims with DXs between 290
> > and 319. That pretty much covers all mental disorders.
> > How do you, the practitioners on this list, handle such a thing? Do
> > you find other DX codes or procedure codes that are still
> > appropriate to the situation, or do you just "take it on the chin"?
> >
> > One doctor tells me that she will discuss meds with the patient and
> > then bill the code 90862.
> >
> > I also see that the reduction will be phased out by 2014.
> >
> > Frankly, I think this is one of the craziest things I have heard from
> > Medicare, and that is saying a lot!
> >
> > Any input will be Greatly appreciated!
> >
> > Many Thanks,
> >
> > Deb
> >
> >
> > Tru Medical Billing,
> > at your service
> >
> > Deb Tru
> > 602-525-9888
> > Fx: 866-582-6936
> > www.tmedbilling.com
> >
> > [Non-text portions of this message have been removed]
> >
>
>



Many Thanks,

        Deb


Tru Medical Billing,
                  at your service

          Deb Tru
          602-525-9888
          Fx: 866-582-6936
          www.tmedbilling.com

[Non-text portions of this message have been removed]

Need help!!!
Im billing UHC with codes 97110x3,97530,and 98941 they are splitting my
97110 and not paying anything on the 97530..
Is there something i need to do to get all codes paid..
How would you bill them??
Thanks

Please help

Sent from my Verizon Wireless 4G LTE Phone



[Non-text portions of this message have been removed]

Correct.

--- In MedicalBillers@yahoogroups.com, DTru <dtru@...> wrote:
>
> Thanks Melinda, I guess the patient with no
> secondary gets to pay the difference.
>
>
> At 10:30 AM 9/6/2012, you wrote:
> >
> >
> >If you see on your Medicare EOB, it puts the
> >psych reduction to PR122, which can be billed to
> >the patient (PR=Pt resp). We bill it to the secondary insurance.
> >
> >Melinda Brown, CMBS
> >Ins Biller
> >
> >--- In
> ><mailto:MedicalBillers%40yahoogroups.com>MedicalBillers@yahoogroups.com,
> >DTru <dtru@> wrote:
> > >
> > > For Mental Health billers:
> > >
> > > I have just discovered the 20% Psychiatric Reduction from Medicare
> > > for an office in Kansas. Arizona does not have such a reduction! I
> > > do not understand why Medicare, a Federal Program, reduces their
> > > payment schedule in one part of the country and not in another. I am
> > > also amazed that they are doing this with claims with DXs between 290
> > > and 319. That pretty much covers all mental disorders.
> > > How do you, the practitioners on this list, handle such a thing? Do
> > > you find other DX codes or procedure codes that are still
> > > appropriate to the situation, or do you just "take it on the chin"?
> > >
> > > One doctor tells me that she will discuss meds with the patient and
> > > then bill the code 90862.
> > >
> > > I also see that the reduction will be phased out by 2014.
> > >
> > > Frankly, I think this is one of the craziest things I have heard from
> > > Medicare, and that is saying a lot!
> > >
> > > Any input will be Greatly appreciated!
> > >
> > > Many Thanks,
> > >
> > > Deb
> > >
> > >
> > > Tru Medical Billing,
> > > at your service
> > >
> > > Deb Tru
> > > 602-525-9888
> > > Fx: 866-582-6936
> > > www.tmedbilling.com
> > >
> > > [Non-text portions of this message have been removed]
> > >
> >
> >
>
>
>
> Many Thanks,
>
>        Deb
>
>
> Tru Medical Billing,
>                  at your service
>
>          Deb Tru
>          602-525-9888
>          Fx: 866-582-6936
>          www.tmedbilling.com
>
> [Non-text portions of this message have been removed]
>

First is your doctor spending an hour with this person.  That what your codes
are saying.

Maryann b

On Sep 14, 2012, at 2:36 PM, "mbt200950@..." <mbt200950@...> wrote:

> Need help!!!
> Im billing UHC with codes 97110x3,97530,and 98941 they are splitting my
> 97110 and not paying anything on the 97530..
> Is there something i need to do to get all codes paid..
> How would you bill them??
> Thanks
>
> Please help
>
> Sent from my Verizon Wireless 4G LTE Phone
>
> [Non-text portions of this message have been removed]
>
>
>
>
>
>
>

[Non-text portions of this message have been removed]

Yes he is.

Sent from my Verizon Wireless 4G LTE Phone

-----Original message-----
From: Maryann <chiroblr@...>
To: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
Cc: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
Sent: Fri, Sep 14, 2012 12:48:56 MST
Subject: Re: [MedicalBillers] Chiro/therapy

First is your doctor spending an hour with this person.  That what your
codes are saying.

Maryann b

On Sep 14, 2012, at 2:36 PM, "mbt200950@..." <mbt200950@...>
wrote:

> Need help!!!
> Im billing UHC with codes 97110x3,97530,and 98941 they are splitting my
> 97110 and not paying anything on the 97530..
> Is there something i need to do to get all codes paid..
> How would you bill them??
> Thanks
>
> Please help
>
> Sent from my Verizon Wireless 4G LTE Phone
>
> [Non-text portions of this message have been removed]
>
>
>
>
>
>
>

[Non-text portions of this message have been removed]



[Non-text portions of this message have been removed]

What at the limits of the policy?   Adjustment and two therapies?

Maryann b

On Sep 14, 2012, at 4:00 PM, "mbt200950@..." <mbt200950@...> wrote:

> Yes he is.
>
> Sent from my Verizon Wireless 4G LTE Phone
>
> -----Original message-----
> From: Maryann <chiroblr@...>
> To: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
> Cc: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
> Sent: Fri, Sep 14, 2012 12:48:56 MST
> Subject: Re: [MedicalBillers] Chiro/therapy
>
> First is your doctor spending an hour with this person. That what your
> codes are saying.
>
> Maryann b
>
> On Sep 14, 2012, at 2:36 PM, "mbt200950@..." <mbt200950@...>
> wrote:
>
> > Need help!!!
> > Im billing UHC with codes 97110x3,97530,and 98941 they are splitting my
> > 97110 and not paying anything on the 97530..
> > Is there something i need to do to get all codes paid..
> > How would you bill them??
> > Thanks
> >
> > Please help
> >
> > Sent from my Verizon Wireless 4G LTE Phone
> >
> > [Non-text portions of this message have been removed]
> >
> >
> >
> >
> >
> >
> >
>
> [Non-text portions of this message have been removed]
>
> [Non-text portions of this message have been removed]
>
>
>
>
>
>
>

[Non-text portions of this message have been removed]

Hi maryanne
Im sorry i had to leave out of town for an emergency..
Limit is 4 units therapy
And 5 units chiro..
Is that what you mean?
Pts have 120 visits per year.
Thanks


Sent from my Verizon Wireless 4G LTE Phone

-----Original message-----
From: Maryann <chiroblr@...>
To: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
Cc: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
Sent: Fri, Sep 14, 2012 14:00:24 MST
Subject: Re: [MedicalBillers] Chiro/therapy

What at the limits of the policy?   Adjustment and two therapies?

Maryann b

On Sep 14, 2012, at 4:00 PM, "mbt200950@..." <mbt200950@...>
wrote:

> Yes he is.
>
> Sent from my Verizon Wireless 4G LTE Phone
>
> -----Original message-----
> From: Maryann <chiroblr@...>
> To: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
> Cc: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
> Sent: Fri, Sep 14, 2012 12:48:56 MST
> Subject: Re: [MedicalBillers] Chiro/therapy
>
> First is your doctor spending an hour with this person. That what your
> codes are saying.
>
> Maryann b
>
> On Sep 14, 2012, at 2:36 PM, "mbt200950@..." <mbt200950@...>
> wrote:
>
> > Need help!!!
> > Im billing UHC with codes 97110x3,97530,and 98941 they are splitting my
> > 97110 and not paying anything on the 97530..
> > Is there something i need to do to get all codes paid..
> > How would you bill them??
> > Thanks
> >
> > Please help
> >
> > Sent from my Verizon Wireless 4G LTE Phone
> >
> > [Non-text portions of this message have been removed]
> >
> >
> >
> >
> >
> >
> >
>
> [Non-text portions of this message have been removed]
>
> [Non-text portions of this message have been removed]
>
>
>
>
>
>
>

[Non-text portions of this message have been removed]



[Non-text portions of this message have been removed]

yes that is what I mean.  I hope everything worked out correctly.  Now, for
the coding issue.  I would be concerned that you were using 3 units of
anything.  Isn't there a better way to code what the doctor is providing? 
Exercise, trigger point and neur re-ed for example.

 Why give them a catch all code for 45 minutes of care?
 
maryann


________________________________
  From: "mbt200950@..." <mbt200950@...>
To: MedicalBillers@yahoogroups.com
Sent: Monday, September 17, 2012 2:11 PM
Subject: Re: [MedicalBillers] Chiro/therapy



 

Hi maryanne
Im sorry i had to leave out of town for an emergency..
Limit is 4 units therapy
And 5 units chiro..
Is that what you mean?
Pts have 120 visits per year.
Thanks

Sent from my Verizon Wireless 4G LTE Phone

-----Original message-----
From: Maryann <mailto:chiroblr%40yahoo.com>
To: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
Cc: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
Sent: Fri, Sep 14, 2012 14:00:24 MST
Subject: Re: [MedicalBillers] Chiro/therapy

What at the limits of the policy?   Adjustment and two therapies?

Maryann b

On Sep 14, 2012, at 4:00 PM, "mailto:mbt200950%40yahoo.com"
<mailto:mbt200950%40yahoo.com>
wrote:

> Yes he is.
>
> Sent from my Verizon Wireless 4G LTE Phone
>
> -----Original message-----
> From: Maryann <mailto:chiroblr%40yahoo.com>
> To: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
> Cc: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
> Sent: Fri, Sep 14, 2012 12:48:56 MST
> Subject: Re: [MedicalBillers] Chiro/therapy
>
> First is your doctor spending an hour with this person. That what your
> codes are saying.
>
> Maryann b
>
> On Sep 14, 2012, at 2:36 PM, "mailto:mbt200950%40yahoo.com"
<mailto:mbt200950%40yahoo.com>
> wrote:
>
> > Need help!!!
> > Im billing UHC with codes 97110x3,97530,and 98941 they are splitting my
> > 97110 and not paying anything on the 97530..
> > Is there something i need to do to get all codes paid..
> > How would you bill them??
> > Thanks
> >
> > Please help
> >
> > Sent from my Verizon Wireless 4G LTE Phone
> >
> > [Non-text portions of this message have been removed]
> >
> >
> >
> >
> >
> >
> >
>
> [Non-text portions of this message have been removed]
>
> [Non-text portions of this message have been removed]
>
>
>
>
>
>
>

[Non-text portions of this message have been removed]

[Non-text portions of this message have been removed]




[Non-text portions of this message have been removed]

What would you recommend if you dont mind me asking?
My chiro is at a loss and dont know how else to bill..he is coding by what he is
doing.
We were getting paid no problem and all of a sudden they said we need modifiers
then they said no we dont .i cant get a straight answer from the insurance
company..
Uhc implemented a multiple reduction policy on the 97110..

Sent from my Verizon Wireless 4G LTE Phone

-----Original message-----
From: Maryann Burke <chiroblr@...>
To: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
Sent: Mon, Sep 17, 2012 12:02:08 MST
Subject: Re: [MedicalBillers] Chiro/therapy

yes that is what I mean.  I hope everything worked out correctly.  Now, for
the coding issue.  I would be concerned that you were using 3 units of
anything.  Isn't there a better way to code what the doctor is providing? 
Exercise, trigger point and neur re-ed for example.

 Why give them a catch all code for 45 minutes of care?
 
maryann


________________________________
  From: "mbt200950@..." <mbt200950@...>
To: MedicalBillers@yahoogroups.com
Sent: Monday, September 17, 2012 2:11 PM
Subject: Re: [MedicalBillers] Chiro/therapy



 

Hi maryanne
Im sorry i had to leave out of town for an emergency..
Limit is 4 units therapy
And 5 units chiro..
Is that what you mean?
Pts have 120 visits per year.
Thanks

Sent from my Verizon Wireless 4G LTE Phone

-----Original message-----
From: Maryann <mailto:chiroblr%40yahoo.com>
To: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
Cc: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
Sent: Fri, Sep 14, 2012 14:00:24 MST
Subject: Re: [MedicalBillers] Chiro/therapy

What at the limits of the policy?   Adjustment and two therapies?

Maryann b

On Sep 14, 2012, at 4:00 PM, "mailto:mbt200950%40yahoo.com"
<mailto:mbt200950%40yahoo.com>
wrote:

> Yes he is.
>
> Sent from my Verizon Wireless 4G LTE Phone
>
> -----Original message-----
> From: Maryann <mailto:


[Non-text portions of this message have been removed]

call me tomorrow.  I will be able to talk then.  413-230-9102.  maybe I can
come up with some ideas.
 
maryann
http://www.chiroblr.com/
 


________________________________
  From: "mbt200950@..." <mbt200950@...>
To: MedicalBillers@yahoogroups.com
Sent: Monday, September 17, 2012 3:16 PM
Subject: Re: [MedicalBillers] Chiro/therapy



 

What would you recommend if you dont mind me asking?
My chiro is at a loss and dont know how else to bill..he is coding by what he is
doing.
We were getting paid no problem and all of a sudden they said we need modifiers
then they said no we dont .i cant get a straight answer from the insurance
company..
Uhc implemented a multiple reduction policy on the 97110..

Sent from my Verizon Wireless 4G LTE Phone

-----Original message-----
From: Maryann Burke <mailto:chiroblr%40yahoo.com>
To: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
Sent: Mon, Sep 17, 2012 12:02:08 MST
Subject: Re: [MedicalBillers] Chiro/therapy

yes that is what I mean.  I hope everything worked out correctly.  Now, for
the coding issue.  I would be concerned that you were using 3 units of
anything.  Isn't there a better way to code what the doctor is providing? 
Exercise, trigger point and neur re-ed for example.

 Why give them a catch all code for 45 minutes of care?
 
maryann


________________________________
From: "mailto:mbt200950%40yahoo.com" <mailto:mbt200950%40yahoo.com>
To: mailto:MedicalBillers%40yahoogroups.com
Sent: Monday, September 17, 2012 2:11 PM
Subject: Re: [MedicalBillers] Chiro/therapy


 

Hi maryanne
Im sorry i had to leave out of town for an emergency..
Limit is 4 units therapy
And 5 units chiro..
Is that what you mean?
Pts have 120 visits per year.
Thanks

Sent from my Verizon Wireless 4G LTE Phone

-----Original message-----
From: Maryann <mailto:chiroblr%40yahoo.com>
To: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
Cc: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
Sent: Fri, Sep 14, 2012 14:00:24 MST
Subject: Re: [MedicalBillers] Chiro/therapy

What at the limits of the policy?   Adjustment and two therapies?

Maryann b

On Sep 14, 2012, at 4:00 PM, "mailto:mbt200950%40yahoo.com"
<mailto:mbt200950%40yahoo.com>
wrote:

> Yes he is.
>
> Sent from my Verizon Wireless 4G LTE Phone
>
> -----Original message-----
> From: Maryann <mailto:

[Non-text portions of this message have been removed]




[Non-text portions of this message have been removed]

Ok .what time is good for you?
thank you

Sent from my Verizon Wireless 4G LTE Phone

-----Original message-----
From: Maryann Burke <chiroblr@...>
To: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
Sent: Mon, Sep 17, 2012 12:45:34 MST
Subject: Re: [MedicalBillers] Chiro/therapy

call me tomorrow.  I will be able to talk then.  413-230-9102.  maybe I can
come up with some ideas.
 
maryann
http://www.chiroblr.com/
 


________________________________
  From: "mbt200950@..." <mbt200950@...>
To: MedicalBillers@yahoogroups.com
Sent: Monday, September 17, 2012 3:16 PM
Subject: Re: [MedicalBillers] Chiro/therapy



 

What would you recommend if you dont mind me asking?
My chiro is at a loss and dont know how else to bill..he is coding by what he is
doing.
We were getting paid no problem and all of a sudden they said we need modifiers
then they said no we dont .i cant get a straight answer from the insurance
company..
Uhc implemented a multiple reduction policy on the 97110..

Sent from my Verizon Wireless 4G LTE Phone

-----Original message-----
From: Maryann Burke <mailto:chiroblr%40yahoo.com>
To: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
Sent: Mon, Sep 17, 2012 12:02:08 MST
Subject: Re: [MedicalBillers] Chiro/therapy

yes that is what I mean.  I hope everything worked out correctly.  Now, for
the coding issue.  I would be concerned that you were using 3 units of
anything.  Isn't there a better way to code what the doctor is providing? 
Exercise, trigger point and neur re-ed for example.

 Why give them a catch all code for 45 minutes of care?
 
maryann


____________________________


[Non-text portions of this message have been removed]

Anytime in the morning

Maryann b

On Sep 17, 2012, at 4:06 PM, "mbt200950@..." <mbt200950@...> wrote:

> Ok .what time is good for you?
> thank you
>
> Sent from my Verizon Wireless 4G LTE Phone
>
> -----Original message-----
> From: Maryann Burke <chiroblr@...>
> To: "MedicalBillers@yahoogroups.com" <MedicalBillers@yahoogroups.com>
> Sent: Mon, Sep 17, 2012 12:45:34 MST
> Subject: Re: [MedicalBillers] Chiro/therapy
>
> call me tomorrow.  I will be able to talk then.  413-230-9102.  maybe I can
come up with some ideas.
>
> maryann
> http://www.chiroblr.com/
>
>
>
> ________________________________
> From: "mbt200950@..." <mbt200950@...>
> To: MedicalBillers@yahoogroups.com
> Sent: Monday, September 17, 2012 3:16 PM
> Subject: Re: [MedicalBillers] Chiro/therapy
>
>
>
>
> What would you recommend if you dont mind me asking?
> My chiro is at a loss and dont know how else to bill..he is coding by what he
is doing.
> We were getting paid no problem and all of a sudden they said we need
modifiers then they said no we dont .i cant get a straight answer from the
insurance company..
> Uhc implemented a multiple reduction policy on the 97110..
>
> Sent from my Verizon Wireless 4G LTE Phone
>
> -----Original message-----
> From: Maryann Burke <mailto:chiroblr%40yahoo.com>
> To: "mailto:MedicalBillers%40yahoogroups.com"
<mailto:MedicalBillers%40yahoogroups.com>
> Sent: Mon, Sep 17, 2012 12:02:08 MST
> Subject: Re: [MedicalBillers] Chiro/therapy
>
> yes that is what I mean.  I hope everything worked out correctly.  Now, for
the coding issue.  I would be concerned that you were using 3 units of anything.
Isn't there a better way to code what the doctor is providing?  Exercise,
trigger point and neur re-ed for example.
>
>  Why give them a catch all code for 45 minutes of care?
>
> maryann
>
> ____________________________
>
> [Non-text portions of this message have been removed]
>
>

[Non-text portions of this message have been removed]

Does anyone out there know how to use Eclipse.  I have a new client and I'm
having trouble getting things out of it.

Maryann Burke
www.chiroblr.com

I'm getting ready to leave a client I have been with for almost 5 years.  I
don't want to discuss why but it is my choice only.  I'm wondering how much time
other billers give soon to be ex clients to find a new biller?

Maryann Burke
www.chiroblr.com

I am in the exact some boat.  My choice to let them go.  I  personally am
giving him until the end of the year.

Jackie

Jackie R. Zube, CMC,  CMRS
AMBA Certifying Board Member
Rocky Mountain AMBA Chapter  President
303-761-7224 (main)
888-377-7224 (tollfree)
866-771-0081  (tollfree fax)


Confidentiality Notice: The contents  of this e-mail are confidential, and
intended only for the use of the  individuals and/or entity named above. If
the reader of this email is not the  intended recipient, you are hereby
notified that any dissemination, disclosure,  copying, or distribution of the
contents of this email message is strictly  prohibited by law. If you received
this email in error, please immediately  notify the sender by return email.



In a message dated 10/4/2012 5:26:47 P.M. Mountain Daylight Time,
chiroblr@... writes:




I'm getting ready to leave a client I have been with for almost 5 years. I
don't want to discuss why but it is my choice only. I'm wondering how much
time other billers give soon to be ex clients to find a new  biller?

Maryann Burke
www.chiroblr.com






[Non-text portions of this message have been removed]

My contract is 30 day notice. I sometimes offer to send him leads and thats
because of my association. I try to refer to members



On Oct 4, 2012, at 7:26 PM, "chiroblr" <chiroblr@...> wrote:

> I'm getting ready to leave a client I have been with for almost 5 years. I
don't want to discuss why but it is my choice only. I'm wondering how much time
other billers give soon to be ex clients to find a new biller?
>
> Maryann Burke
> www.chiroblr.com
>
>


[Non-text portions of this message have been removed]

My contract is usually dependant on the practice size usually 30 or 60
days.    But we have a good relationship and I like a year end  cut off.

Jackie



n a message dated 10/4/2012 6:13:13 P.M. Mountain Daylight Time,
chargrove1967@... writes:




My contract is 30 day notice. I sometimes offer to send him leads and thats
  because of my association. I try to refer to members

On Oct 4, 2012, at  7:26 PM, "chiroblr" <_chiroblr@..._
(mailto:chiroblr@...) >  wrote:

> I'm getting ready to leave a client I have been with for  almost 5 years.
I don't want to discuss why but it is my choice only. I'm  wondering how
much time other billers give soon to be ex clients to find a new  biller?
>
> Maryann Burke
> www.chiroblr.com
>
>

[Non-text portions of this message have been  removed]






[Non-text portions of this message have been removed]

I give them 30 days and a list of other billers they can call.


At 06:10 PM 10/4/2012, you wrote:
>
>
>My contract is usually dependant on the practice size usually 30 or 60
>days. But we have a good relationship and I like a year end cut off.
>
>Jackie
>
>n a message dated 10/4/2012 6:13:13 P.M. Mountain Daylight Time,
><mailto:chargrove1967%40yahoo.com>chargrove1967@... writes:
>
>My contract is 30 day notice. I sometimes offer to send him leads and thats
>because of my association. I try to refer to members
>
>On Oct 4, 2012, at 7:26 PM, "chiroblr"
><<mailto:_chiroblr%40yahoo.com>_chiroblr@..._
>(mailto:chiroblr@...) > wrote:
>
> > I'm getting ready to leave a client I have been with for almost 5 years.
>I don't want to discuss why but it is my choice only. I'm wondering how
>much time other billers give soon to be ex clients to find a new biller?
> >
> > Maryann Burke
> > www.chiroblr.com
> >
> >
>
>[Non-text portions of this message have been removed]
>
>[Non-text portions of this message have been removed]
>
>



Many Thanks,

        Deb


Tru Medical Billing,
                  at your service

          Deb Tru
          602-525-9888
          Fx: 866-582-6936
          www.tmedbilling.com

[Non-text portions of this message have been removed]

Just published.

https://www.noridianmedicare.com/provider/updates/docs/mm8047_flu_vaccine_paymen\
t_updates.pdf

Melinda Brown, CMBS
Ins Biller