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Medicare CY24 (Proposed) Impacts to BH Providers
Medicare posted their CY24 Proposed Physician Fee Schedule (PFS) and there are some interesting changes that impact BH providers including (but not limited to, so I encourage you to read!): Adding Marriage and Family Therapists (MFT) and Mental Health Counselors (MHC) (MHCs are proposed to include SUD providers with appropriate training) as billable Medicare providers […]
Read More Claims Payment Systemic Error (CPSE) Reports
CPSE reports can be found for each MCE below! The Claims Payment Systemic Error (CPSE) report includes information about claims adjudication that is incorrectly paying, denying, or suspending and is affecting or potentially may affect five or more billing providers. Aetna Better Health (MyCare):Aetna Better Health of Ohio CPSE Report Aetna OhioRISE:OhioRISE CPSE Report […]
Read More DEA Telehealth Waiver Rule for Controlled Substances is Coming to an End
On March 1, 2023, the Drug Enforcement Administration (DEA) issued notices of proposed rulemakings (NPRM) to allow for prescribing of certain controlled medications via telemedicine without an in-person medical evaluation of the patient which would have impacted the ability to prescribe certain controlled substances without an in-person visit. On May 9,2023, the DEA and SAMHSA […]
Read More January 2023 PNM Refresher Trainings
Behavioral Health Billing Solutions, LLC Maximus will be holding PNM refresher trainings for behavioral health providers enrolled with the Ohio Department of Medicaid. These trainings will be held on 01/20/23 and 01/23/23 for individual and organizational providers. The technical trainings sessions will be scheduled for 01/23/23, 01/25/23, and 01/26/23. Technical Training: https://ohiopnm.myabsorb.com/#/instructor-led-courses/0957177f-cbfd-4c98-b5e8-b2bd87c87642 This […]
Read More January 2023 Coding and Billing Changes | Updated 2023 UCR Recommendations
Behavioral Health Billing Solutions, LLC 99354 and 99355 – Add Ons for Psychotherapy There are two CPT code changes effective January 1, 2023 that will necessitate changes to your EHR billing structure. Both are the result of changes to the CPT code set announced by the AMA; the good news is that out of […]
Read More ODM Has Resumed Posting the CBHC Enrollment File
Behavioral Health Billing Solutions, LLC Combined Type 84/95 Enrollment File as of 10/17/2022 Download the combined file type by clicking the link above For Provider Type 84s For Provider Type 95s As of 10/15/2022, ODM has resumed production of the CBHC Practitioner Enrollment File.
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