Wiki Anyone having trouble with Medicare and the new neuropsych codes? 96132 96136 96137..

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GHSimson

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Portland, MI
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Billed 96132 (1), 96136 (1), 96137 (3)

Medicare is rejecting my claim stating "Payment is adjusted when performed/billed by a provider of this specialty"
The provider is a PhD, Clinical Psychologist.
I contacted Medicare and the supervisor agreed that this rejection is not accurate. She was unable to put the claim back through and referred me to the AH modifier fact sheet for resolution. This modifier was not required in the past. I resubmitted the claim with the modifier and received the same rejection.

Any input is greatly appreciated!!
 
For the record:
I just got off the phone with Medicare. I was advised that it has been determined that their system is not paying for the appropriate specialty. The systems people are looking for a repair. Medicare is asking that we hold our claims. They will post an update on the home page of their website as soon as the issue is fixed.

:) -Gaelin
 
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