Practice Management Alert
In other news
If you're a mental health provider in Illinois, your Blue Cross Blue Shield patients have one less hurdle to jump through. The payer dropped a plan that would have required subscribers to get prior approval for a number of outpatient mental health services. Mental health professionals stated that the BCBS preauthorization requirement violated the Mental Health Parity and Addiction Equality Act, which is designed to make mental health services no different than other medical services. Illinois BCBS will still have pre-authorization requirements for certain services such as behavioral health partial hospitalization, intensive outpatient programs at facilities, outpatient electroconvulsive therapy, and psychological and neuropsychological tes! ting, according to statements made by Dr. Scott Sarran, Illinois Blue Cross chief medical officer.
Practice Management Alert
- Reimbursement Roundup:
Clearly Outline Practice Expectations With No Show Letters and Fees
Check your payer rules before charging your patients. Every practice has the occasional patient who [...] - Red Flags Update:
Get the Scoop on the Latest Red Flags Rule Nuances
Clarification may mean your practice doesn't qualify as a 'creditor.' In a vote that came [...] - Evaluation and Management:
Capture Level 4 and 5 Reimbursement By Honing Your ROS Skills
Ensure you have documentation of each system -- or prepare to bill a lesser service. Level-four [...] - You Be the Billing Expert:
Can You Skip Billing Post-Surgical Care?
Question: Our practice sees several patients who are on limited incomes. Our physician would like [...] - Payer Updates:
CMS Waives Some 2011 Preventive Services Deductibles
Plus, BCBS in Illinois drops mental health pre-approval requirement. If your practice performs certain screening [...] - In other news
If you're a mental health provider in Illinois, your Blue Cross Blue Shield patients have [...] - Reader Questions:
New Year, New Insurance = New Verification
Question: How should I file a claim on a patient who has new coverage but [...] - Reader Questions:
Assign Specific DOS for 88321, 88323, 88325
Question: Our pathology lab performs outside consults on referred slides from other institutions. What date [...] - Reader Questions:
Stick With Correct Code, Even if Non-covered
Question: Our Medicaid carrier included codes 64470-64476 on the 2009 physician fee schedule, but dropped [...]
