Theinsurancemaze.com

10 Telehealth Billing Myths

Web7. “Since the health plan covers video, phone sessions will be covered.”. During the pandemic it does seem that most insurance plans are covering phone sessions, but …

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URL: https://theinsurancemaze.com/telehealthbillingmyths/

10 Tips for Responding to a Record Request: Risk …

Web1) Confirm it is a Risk Adjustment Audit. Carefully search the letter you received for the words “risk adjustment.”. It’s usually mentioned on the page from the …

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Billing for Extended Sessions

WebA New Billing Possibility. Another billing possibility for extended therapy sessions emerged in 2016 when the AMA allowed add-on codes for Prolonged Services, …

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by Barbara Griswold, LMFT

WebPROGRESS NOTES: “Progress notes” — as defined by the Health Information Portability and Accountability Act (HIPAA) — are a REQUIRED part of the client’s medical record …

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When Your Client Has Medicare AND Another Policy

WebWhen Your Client Has Medicare AND Another Policy. By Barbara Griswold, LMFT. (Updated August 16, 2022) When a client is covered by two insurance policies, …

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Billing for Couples and Family Therapy

WebPut the name of your IP on your statement/invoice if you are out of network, or if using the CMS-1500 form put it in Box 2 under “Patient’s Name” (the name of the …

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Update Extended Sessions billing

WebOne Washington biller reported “the insurance companies who paid for 2 units 98034 were CIGNA, Premera Blue Cross of Washington, and Lifewise HealthPlan of …

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Ending of the PHE

WebThe use of the phone (audio-only) to provide mental health services has been approved permanently. During the pandemic, Medicare telehealth visits have been …

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New POS codes Jan 2022

WebBlue Cross later stated that “the system edit causing the denials will be updated on January 25, 2022 to allow POS 10…It is acceptable to bill POS 02 on new claims up to February …

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Speaking the Language of Insurance Plans: Surviving Treatment …

WebAuthor: Barbara Griswold, LMFT · 4010 Moorpark Avenue, Suite 118, San Jose, CA 95117 · 408.985.0846 · [email protected]

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clawbacks: What a plan wants their money back

WebClawbacks: When a Plan Wants Their Money Back. (By Barbara Griswold, LMFT January 3, 2023) While there are many types of records requests and audits you …

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Blue Shield of California and Magellan: A Deceptive Arrangement

WebIn our example, as of January 1, 2012, 1.9 million of Blue Shield’s mental health services and EAP services were carved out to Magellan. But here’s the part that …

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Blue Cross Reviewing Adjustment Disorders

WebBy Barbara Griswold, LMFT (May 16, 2022) Many Blue Cross network therapists around the country have received a curious correspondence from the Blue Cross Provider Education …

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CIGNA is Evernorth

WebCIGNA Is Now Evernorth By Barbara Griswold, LMFT (July 27, 2021) CIGNA Behavioral Health, the fourth largest major medical insurance company in the United States by …

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Don’t Take No for an Answer: 10 Tips for Fighting Denials

WebStart with a call to Claims or Customer Service. While some errors can be quickly identified, allow at least 20 minutes for the call. If the denial reason was “no pre …

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The Top 10 (Mostly Preventable) Reasons Your Claim Could be …

Web4. Wrong claims address. Always call the plan in advance to check the claims address. Never trust the address on the health plan card, or even the one given …

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Another Way to Bill for Extended Sessions: Prolonged Service …

Web2 Will insurance reimburse for Prolonged Service codes? Some therapists who have used these codes have reported they were reimbursed the 99354 and 99355, yet others only …

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What is a Treatment Plan

WebPossible Plan for Queen with OCD. Goal 1: Decrease in frequency of intrusive/unwanted thoughts/images. Obj 1: Ct. will be be able to practice thought-stopping when obsessions …

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Are Raises Possible

WebYou’ve got nothing to lose. Steps for Requesting a Raise. Write a letter to the health plan requesting a reimbursement rate increase. In your letter, include. if you are …

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