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5797Re: Medicare Psychiatric Reduction

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  • Melinda
    Sep 6, 2012
      If 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
      Ins Biller

      --- 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,
      >
      > Deb
      >
      >
      > Tru Medical Billing,
      > at your service
      >
      > Deb Tru
      > 602-525-9888
      > Fx: 866-582-6936
      > www.tmedbilling.com
      >
      > [Non-text portions of this message have been removed]
      >
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