Recent content by b3ckalano

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    Wiki Outpatient provider providing services to patient in the hospital

    Hi all, I have not come across this before so was hoping to get some guidance. I work for a behavioral health group practice in an outpatient setting (mainly office and telehealth). One of our LCSW's patients was admitted to the hospital due to an unrelated condition, and requested a session...
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    Wiki Psychotherapy via Telehealth While on Vacation

    Thank you! Super helpful!
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    Wiki Psychotherapy via Telehealth While on Vacation

    Hi there, and thank you all in advance! I have a behavioral health provider (LPC) who has an opportunity to work remotely in another country for a few months and was hoping to continue to see their patients via telehealth while away. The provider is licensed in the state all of their patients...
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    Wiki Out of Network Provider Different Charges

    99% sure I know the answer but I'd love to confirm A provider cannot charge different rates for the same service based on what the insurer allows, correct? And this applies to both in and out of network providers, yes? As an out of network provider doesn't have a contract with the insurer I...
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    Wiki Medicaid as Secondary Contractual Obligation Write off

    Thank you Susan, I was digging through documents and getting nowhere. You're wonderful! THANK YOU!
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    Wiki Medicaid as Secondary Contractual Obligation Write off

    I have a patient with commercial insurance as primary, Medicaid as secondary. I'm not sure that their claims paid out properly. We charged $185 for a service - the primary payer determined they owed $85, the patient owed $25 copay, and the contractual write-off was $75 We sent in a secondary...
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    Wiki LPC + Medicare Questions

    Thank you! Unfortunately, I can't get any questions answered from my MAC because the phone line requires an NPI and my LPC's NPI isn't recognized by Medicare. I have done some digging on the CMS site but can't get definitive answers. I will keep looking, but the advice is greatly appreciated!
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    Wiki LPC + Medicare Questions

    Hello there! I am a relatively new biller and feel completely out of my depth trying to navigate Medicare, and can't get info from them directly either. I was hoping there may be someone who has handled this scenario before: I work for an LPC who never enrolled with Medicare...
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