Search results

  1. L

    Wiki Problem with CENTENE denying my Providers ( sole proprietor's) claims BOX 24 and 33 issue

    I am losing my mind because all of a sudden the payer Centene is denying two of my providers' claims saying NPI does not match NPI incorrect at least that's what it says on the remittance explanation codes. The payer is saying this This claim rejected because box 33b should have the...
  2. L

    Wiki Billing when you have a provider with Type 2 NPI

    So I have two providers One has a PLLC and they are the only provider for that group. Other one has PC and they are only provider for that group. Blue Cross who we have been billing for years ( commercial claims) for the PC we have never billed with his type 2 NPI only the type 1. We use...
  3. L

    Wiki Telehealth Billing after PHE and changes to place of service causing lower reimbursement

    Thank you Sherry for responding. I am new to this forum thing and I agree that it is clear as mud. I checked PalmettoCms website too and I agree. I will update this thread and anyone interested when I see how this claim processes from Humana Medicare. I sent a corrected claim referencing the...
  4. L

    Wiki Telehealth Billing after PHE and changes to place of service causing lower reimbursement

    I am very confused why all of a sudden we are seeing denials using place of service 11 with modifier 95 and now they want us to use POS 10 for telehealth in patient's home and POS 02 if they are not home. It seems to vary by payer and I know some are following Medicare guidelines but we are...
  5. L

    Wiki Aetna Credentialing/Contracting

    I agree Aetna is lacking with their provider relations with regard to contracting credentialing.. I have one provider that I have called for minimum of 25 times about getting an address taken out for Aetna Medicare pt's and they still haven't done it. She is enrolled for EFT and they mail...
  6. L

    Wiki In Patient Psych codes denying for POS

    @ Dallstar02 Thank you! Woo hoo! We used to bill ( POS 21) for Georgia Medicaid inpatient psychiatric billing. We had to use POS 21 because of the relationship of the hospital with the GA medicaid system. The psych hospital was not contracted in their system. I literally have been...
  7. L

    Wiki In Patient Psych codes denying for POS

    Dear Dall, I AGREE WITH YOU that Champ VA is definitely the only payer that is denying the codes that we bill for every other inpatient psychiatric hospital claim. 99222, 99231, 99232 99233 and 99238 for discharge. I am from Tennessee and I am having the same exact problem So here is what I...
Top