Billing Issues with the new 2013 CPT Codes
Is anyone having issues with billing or reimbursement on the new 90837 psychotherapy code? My docs usually always see the client for 60 minutes. In the past they would bill 90806 45-50 minute but...
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It's going to be up to each policy as to whether they cover that code. The code itself goes by the 8 minute rule. If your doc is always seeing them for that amount of time and he has the documentation...
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I called three of our biggest payers and they all said the code didn't need pre-authorization and as long as the therapist was seeing the patient for at least 52 minutes then we should bill with that...
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Why does it matter what others are commonly using? You code what was done and you bill what you code. My providers are all doing it differently... some are 45 mins, some are 55 mins, etc. A provider...
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Just wanted to know what others are billing to see if the "normal" length of a session should be closer to 45 minutes. I'm just billing what's reported to me, but if the average length of session...
View ArticleRe: Billing Issues with the new 2013 CPT Codes
Traditionally, a "clinical hour" has been 50 minutes, leaving 10 minutes between each patient for paperwork.
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Thanks for the replies, I guess we will bill it and see what happens. So far, UBH will not cover the 90837 as they consider it to be extended time and want the provider to get an authorization....
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most therapist I know do see their clients for an hour.
View ArticleRe: Billing Issues with the new 2013 CPT Codes
psychotherapybiller wrote: So far, UBH will not cover the 90837 as they consider it to be extended time and want the provider to get an authorization. Read More
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So now we now all need to contact UBH and any other carrier that lowered the fee for 90834 and suggests we use 90785 even though the service was not provided. This change in codes has created nothing...
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I hear you Karen. To add complications to my life (and others of course!); federal work comp doesn't update their codes until July, so everyone has to use the old codes until then. California work...
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January 7th and 8th 2013, the AMA released two Practice Management Alerts. Payers are not allowed to "create" new definitions for 2013 CPT codes. There is no such thing as routine and non-routine...
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