5797Re: Medicare Psychiatric Reduction
- Sep 6, 2012If you see on your Medicare EOB, it puts the psych reduction to PR122, which can be billed to the patient (PR=Pt resp). We bill it to the secondary insurance.
Melinda Brown, CMBS
--- In MedicalBillers@yahoogroups.com, DTru <dtru@...> wrote:
> For Mental Health billers:
> I have just discovered the 20% Psychiatric Reduction from Medicare
> for an office in Kansas. Arizona does not have such a reduction! I
> do not understand why Medicare, a Federal Program, reduces their
> payment schedule in one part of the country and not in another. I am
> also amazed that they are doing this with claims with DXs between 290
> and 319. That pretty much covers all mental disorders.
> How do you, the practitioners on this list, handle such a thing? Do
> you find other DX codes or procedure codes that are still
> appropriate to the situation, or do you just "take it on the chin"?
> One doctor tells me that she will discuss meds with the patient and
> then bill the code 90862.
> I also see that the reduction will be phased out by 2014.
> Frankly, I think this is one of the craziest things I have heard from
> Medicare, and that is saying a lot!
> Any input will be Greatly appreciated!
> Many Thanks,
> Tru Medical Billing,
> at your service
> Deb Tru
> Fx: 866-582-6936
> [Non-text portions of this message have been removed]
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