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96118 Neuropsych Billing

Hello-

I started this position 1/2017 and only had a few days of training from a biller who was with this practice for 6 years.
I had noticed that she was billing 96118 with 12 units but we were only getting paid anywhere from 2.5-4 units, only being paid 4 units when its BCBS. Though this year a lot of insurances are denying 96118 12 units – only allowing 8 units to be billed and then still paying anywhere from 2.5-4 units. Anyone else seeing this issue? It’s a lot of time spent for just 2.5 units to be paid for.

Appreciated – thank you!

Medical Billing and Coding Forum