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Re: [MedicalBillers] Re: Medicare Psychiatric Reduction

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  • DTru
    Thanks Melinda, I guess the patient with no secondary gets to pay the difference. ... Many Thanks, Deb Tru Medical Billing, at your service Deb Tru
    Message 1 of 4 , Sep 13, 2012
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      Thanks Melinda, I guess the patient with no
      secondary gets to pay the difference.


      At 10:30 AM 9/6/2012, you wrote:
      >
      >
      >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
      ><mailto:MedicalBillers%40yahoogroups.com>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]
      > >
      >
      >



      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]
    • Melinda
      Correct.
      Message 2 of 4 , Sep 14, 2012
      • 0 Attachment
        Correct.

        --- In MedicalBillers@yahoogroups.com, DTru <dtru@...> wrote:
        >
        > Thanks Melinda, I guess the patient with no
        > secondary gets to pay the difference.
        >
        >
        > At 10:30 AM 9/6/2012, you wrote:
        > >
        > >
        > >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
        > ><mailto:MedicalBillers%40yahoogroups.com>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]
        > > >
        > >
        > >
        >
        >
        >
        > 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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