Recent content by jreg96

  1. J

    Wiki Can MH services be billed without these documents?

    Hello- for a small practice of behavioral health providers, we've always had a Consent for Treatment and the clinicians Professional Disclosure Statement signed first thing as a requirement for billing. We have a compliance team for compliance issues but a question has come up recently asking if...
  2. J

    Wiki G2212 with Outpatient MH code

    Has anyone billed a G2212 with MH outpatient code (90837) and had success? The billing guide and SERI list the E/M codes as billable with the add-on but since we lost the prolonged services codes 99354 and 99355, the G2212 is the only option for our practice. Currently I'm getting denials saying...
  3. J

    Wiki Telehealth Group Therapy

    Hello- I work for a Medicaid only outpatient school based behavioral health agency in WA state. With summer approaching, we do a lot of group therapy with students which we have made in person only because out interpretation is that it was not billable via telehealth. There is some debate...
  4. J

    Wiki Mental Health Prolonged Services

    Anyone have experience with prolonged service codes? We've been billing 90837 with place of service 03-school (we are a school based MH agency) and 99354 for prolonged services. The code description is: Prolonged evaluation and management or psychotherapy services in the office or other...
    • jreg96
    • Thread
    • mental health behavioral outpatient prolonged services school based
    • Replies: 0
    • Forum: Billing/Reimbursement
  5. J

    Wiki Interactive Complexity- When it is okay to bill clarification

    I have an MHP who is certified in Play Therapy, which would normally be considered a component of interactive complexity, and uses this as a standard means of communication with their clients. Since they are certified in this practice and use this often with clients, would we still be able to...
  6. J

    Wiki Managed Care Organizations and TG modifier

    Public School Mental Health agency has recently been enrolled to bill FFS for Mental Health Services. The HCA has given us the green light to bill Specialized Mental Health services with modifier TG. Any reason these codes would deny when billing the any Managed Care Organizations? EX: 90832...
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