G0277 billing and reimbursement for MS Medicaid

[SA91]

Hi all,

Please may someone share their experience billing the HCSPCS G0277 to Mississippi Medicaid and if they have gotten a rejection or reimbursed (hoping for this)? I would love to learn or get some insight on this specifically.

Thank you!

 

[CBLENNIE]

Are you asking about Molina Healthcare Medicaid?

 

[SA91]

Are you asking about Molina Healthcare Medicaid?

Yes, that would also be helpful to know from them. I was asking more in the lines of straight MS Medicaid.

 

[CBLENNIE]

I didn't find a policy for straight Medicaid in MS but I found the Molina MP on HBOT coverage. HBOT & Topical Oxygen Therapy: Policy No. 050 it stated it applied to Medicaid and Marketplace plans from the Molina Mississippi website.

 

[SA91]

I didn't find a policy for straight Medicaid in MS but I found the Molina MP on HBOT coverage. HBOT & Topical Oxygen Therapy: Policy No. 050 it stated it applied to Medicaid and Marketplace plans from the Molina Mississippi website.

Thank you much appreciated! My question would be more focused on the place of service. With some research I have done I just wanted to make sure that G0277/99183 billed for POS 11 would be acceptable? It seems that this accepted for Medicaid but I am not 100% sure. Or would we need to get in contact with the Medicaid rep for our area regarding this specific issue?

 

[CBLENNIE]

Do you have a full body HBOT chamber in your office, that would strike me as odd from a payer perspective if I saw a claim for it. Unless you are a wound care clinic.

 

[SA91]

Do you have a full body HBOT chamber in your office, that would strike me as odd from a payer perspective if I saw a claim for it. Unless you are a wound care clinic.

Yes, I can understand that Yes, our client is a wound care clinic and specializes in vascular health.

 

[SA91]

Do you have a full body HBOT chamber in your office, that would strike me as odd from a payer perspective if I saw a claim for it. Unless you are a wound care clinic.

Thank you again for advising much appreciated!