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Re: Medicare Psychiatric Reduction

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  • Melinda
    Correct.
    Message 1 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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