I work for a Medicaid managed care organization and am wondering about the appropriateness around encountering/billing multiple services for a client when the client is open to services in multiple facilities. For example, if a client is in a psychiatric residential treatment facility, can a case manager bill for services provided during the time as well, while the facility is also billing services for the client? The case manager would be maintaining contact with agencies for when the client is discharged from the facility and back in outpatient treatment.
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Tag Archives: encountering
Z76.89 persons encountering health serviced in other specified circumstances
I have a provider using a DX of Z76.89 persons encountering health serviced in other specified circumstances as the primary DX for new patients, he is using the new patient CPT. The provider insists on keeping it as primary, and yes there are subsequent DXs for the same encounter, does anybody else see this DX, and is it being paid?????????
DX Z71.0 Person encountering health services to consult on behalf of another person
We have a couple of situations where we need to discuss circumstances with a parent without the patient present.
One example is in relation to terminal illness of a child, and the discussion the provider/parent needs to have without the child in the room.
Have any of you billed an OV with the above diagnosis code under the parent? I have been unable to find payer or coding guidelines specific to this type of situation, but it seems this diagnosis code would fit.