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maximum exceeded

  1. R

    Wiki Question for Coders – Resources for Behavioral Health Max Allowed & Code Combinations (MO & KS)

    Hi all, I’m looking for reliable resources to help determine: Maximum allowed reimbursement for behavioral health services in both Missouri and Kansas, and Valid code combinations specific to behavioral health (e.g., what CPT/HCPCS pairings are acceptable, bundling edits, etc.) for each...
    • reannabowers
    • Thread
    • behavorial health maximum exceeded medicaid medicaid billing training unit reimbursement
    • Replies: 0
    • Forum: Behavioral Health
  2. L

    Wiki Uhc & emg 95886 add on denial for max qty

    I have done everything I could to research this further. No matter how I bill this whether it is 1, 2, 3 or 4 units on line line item it denies. It does not do this for ANY OTHER carrier. This billing for up to 4 units per line item was acceptable until 2015- mid 2016, then late 2016-early 2017...
  3. S

    Wiki Clinical Daily Maximum Exceeded?? 99070

    Due to contractual limitations, we are having to bill some of our drugs under 99070 instead of the generic HCPC's code since the generic HCPC is not recognized by our contract. However, when billing for multiple drugs, only one drug is being paid as the remaining lines containing 99070 are being...
    • sjrebeck
    • Thread
    • 99070 clincal daily hcpc maximum exceeded
    • Replies: 1
    • Forum: Modifiers
  4. S

    Wiki 99070 in place of HCPCS

    Due to contractual limitations, we are having to bill some of our drugs under 99070 instead of the generic HCPC's code since the generic HCPC is not recognized by our contract. However, when billing for multiple drugs, only one drug is being paid as the remaining lines containing 99070 are being...
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