Hello! Question in regards to billing for residential substance abuse billing in Minnesota. We bill the H2036 for the treatment plan which includes all the clients groups for the day. I’m told the client has to attend 30 hours of groups per week and our clients do this between Monday-Friday. There are no groups on the weekend so there are no progress notes for the weekend dates (only if the HST updates something in their record). Are we allowed to bill for Saturday and Sunday dates when there are no groups? Room and board is a separate line.
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Tag Archives: Substance
SAMHSA: Patient consent now required for substance abuse records
Appropriate sharing of records for patients with substance abuse disorders should be easier under a second final rule issued January 3 by HHS and its Substance Abuse and Mental Health Services Administration (SAMHSA). But in some cases, the new rule adds considerations that might mitigate the advantage.
failure to address substance abuse, leading to fines
Hi
Some of my providers read this article:
Some of my providers read this article:
http://c-hit.org/2018/03/20/med-boar…haven-doctors/
And they are wondering What is meant when the article states that the "board reprimanded and fined a West Haven doctor $ 1,000 for failing to address a patients weight loss and substance abuse in 2016." They are wondering what exactly he failed to address or document in his notes that led to this. In particular, "his failure to address substance abuse in 2016.
How exactly do you address that in your providers’ documentation? For patients with known active history of IV drug/heroin abuse, aside from documenting that the provider encouraged the patient to go to rehab, is there anything else that needs to be done to prevent being hit with a similar fine?
thanks!
Anthem Denials for Substance Abuse
Beginning March 1, 2018 our California facility began receiving denials for our institutional claims and are now requesting medical records. We are aware that the codes do change twice a year but this is more than that. We are looking for advice from fellow substance abuse billers. Has anyone else been experiencing this?? I would love to discuss codes being used, states that are experiencing this, and all of the above. :confused:
Coding E&M for substance abuse Facility
Should a pre-admission assessment (99202-05) for a substance abuse facility be coded solely based on the time spent doing the assessment? Please advise. I am referring to section 4 in the attachment.
Substance abuse Billing
Hello I am new to this field and need to figure out how to bill for DTX, RTC, PHP, IOP and OP anyone know where
I can find more information on how to bill for these services for a recovery center billing on a UB-04 in California .
Thank you
I can find more information on how to bill for these services for a recovery center billing on a UB-04 in California .
Thank you
Been using rev codes 0120, 0913,0906
HCPCS: H0010, H0019, H0035, H0015
Sub-acute Inpatient Detox and Substance Abuse Treatment Center Billing
Hi All!
I have recently move from Internal Medicine/ Family Practice FQHC Billing to Behavioral Health/ Substance Abuse In-Patient Treatment Facility. I am new to this field and would like to any feed back on where this billing is professional or institutional.
Please advise.
Substance abuse audit
Hi,
Does anyone have any tools or recommendations for an outpatient clinic who offers Substance abuse therapy and counseling? We are doing an internal audit of our CPT E/M therapy codes.
THANKS!
Substance Abuse Facility
Hello everyone,
After recently being hired at free standing substance abuse/mental health facility as a head biller, I’ve found some mistakes. Coming from a company who was contracted to bill for substance abuse and mental health facilities, I believe I am correct, but I could be wrong.
The facility uses bill type 131, not 073x. They are not a hospital, so should we use 073x or 131?
They bill CPT codes on a UB04 claim. Is this correct? I’ve never done this and it seems rather odd.
They uses HCPCS code H0035 (mental health) for substance abuse PHP. I’ve used a different one, S0201 (substance abuse). They see substance abuse patients. Which is correct?
The co owner wants to leave things as they are because she wants to keep the flow of money continuos but I’ve let her know that if she gets audited, she can get in trouble. Does anyone have any tips or can anyone provide guidance? Help! Thank you in advance.