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    Wiki Department of Insurance and Financial Services 45 day clean claim payment

    Has anyone ever filed a complaint with the Department of Insurance and Financial Services against an insurance company for not paying in a timely manner ?
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    ABA Billing

    if you have a facebook account there is a group that helps with ABA billing ABA Therapy Billing and Insurance Help.. there is a lot of people on there that will help with any questions you may have
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    Wiki Blue Cross Blue Shield of Michigan provider Alert ,, behavioral health (Autism spectrum disorder) see attachment

    FYI if you haven't heard yet!!! See the attachment this was posted on Webdenis under broad cast messages Provider alert Blue Cross commercial and BCN commercial Categories: Authorizations/referrals, Behavioral health, Billing/claims/coding Date posted: May 18, 2022 / Updated May 20, 2022 1...
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    ABA Billing

    we don't use those.. I would check with your payor ,we are in network with BCBS, BCN, Cigna, Aetna, Optum (UHC) , and Priority health and they don't have us use those codes
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    ABA Billing

    we use 97151 for the initial assessment .. 97153 for aba therapy, 97155 for supervision of the techs , 97154 for group and 97156 for parent training. With Modifiers ,, HM ,HN, HO ( depends on there level of college degree)
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    should be everything..

    should be everything..
    • newbergt
    • Profile post comment
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    Wiki Coder as Biller

    I have been there.. and I have made it very clear to the person that I am working with and my team leads and HR I will not compromise my degree and certifications in anyway shape or form. I have quit jobs that have asked me to do this.. .. I would document everything and speak to your manager...
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    Wiki Teletherapy- Physical Location?

    what ever address is going to be or is on the W-9 that is associated with the group. If the provider changes the Company address that's your base address.. regardless of being remote or not.. You need to find out what address is going to be on the W-9 if its the providers (Company/Owners ) home...
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    Wiki Copays for claims denied for timely filing?

    if your eob comes back from the insurance company as timely filing and it doesn't state a patient responsibility and you keep that money that the patient has paid your committing fraud. The patient will get an eob stating they owe nothing to that provider. If the patient has seen that eob and...
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    Wiki Teletherapy- Physical Location?

    I would use the address that the Group NPI is attached to which is what should be on the W-9
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    Wiki Central Reach

    Does anyone on here use Central Reach?
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    Wiki Central Reach

    Does anyone on here use Central Reach?
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    Wiki Behavioral Health -Teleservices

    Depends on the insurance.. Some of them will give you an auth right over the phone .. some you have to send in documentation.. your best bet is just to call and start asking
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    Wiki Behavioral Health DX CODES

    an insurance will accept all ICD 10 codes whether its payable is another story , because the patient may not have coverage for that DX
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    ABA Billing

    I bill for Behavioral health ( ABA ) therapy what is your question.
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    Wiki BILLING QUESTION

    depending on your medicare contractor.. (we have WPS) they don't accept corrected claims .. you have to void the claim and resubmit a new claim the new code
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    Wiki Newbie, Externships, Remote Work and where to start

    I had to do an externship with Baker College. I also had to find my own. It wasn't easy at all. All I did was email and call places and check this site. I called any company that had something to do with Medical. Check DME places, dentist offices anywhere. Google billing companies also. Also...
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    Wiki Medicaid Help

    I'm in Michigan
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    Wiki Medicaid Help

    Is there anyone out there that would be able to help me with Medicaid.. We are a small company and I have been doing the credentialing but I am having a hard time with Medicaid. I have all the other payors set up. Our company is set up with Medicaid but I can't seem to get a payment from them...
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