bengal1175
Guest
Hello,
I am new to coding and billing and work for a non-profit mental health agency here in Maine. We have been billing all claims for Psychiatric Medication Management to Medicaid (called MaineCare in Maine) until 2008 when Medicaid guidelines/regulations changed and we had to change our licensing with the state. We know have a license for Maine that allows to bill services for Psychiatric Medication Management (code H2010 for HCPCS) to Medicaid and to Medicare under 90862 and M0064. The question is do we have to bill Medicare for clients that have Medicare Part B or can we offer to give this service to free? We have been working with a local consulting firm and have been given conflicting information. Our NP is licensed as a PMH-NP and does not require supervision anymore from a psychiatrist or MD. We also have an LCSW on staff that does assessments for us for other services that are reimbursed by MaineCare but no Medicare. We will need to bill his assessments possibly to Medicare for clients that have Medicare and Medicaid if we become contracted with Medicare. Does anyone have a good contact for discussing Medicare contracting questions especially in regards to Mental Health and enrolling?
Thank you in advance for your assistance.
Gretchen Lagassee
I am new to coding and billing and work for a non-profit mental health agency here in Maine. We have been billing all claims for Psychiatric Medication Management to Medicaid (called MaineCare in Maine) until 2008 when Medicaid guidelines/regulations changed and we had to change our licensing with the state. We know have a license for Maine that allows to bill services for Psychiatric Medication Management (code H2010 for HCPCS) to Medicaid and to Medicare under 90862 and M0064. The question is do we have to bill Medicare for clients that have Medicare Part B or can we offer to give this service to free? We have been working with a local consulting firm and have been given conflicting information. Our NP is licensed as a PMH-NP and does not require supervision anymore from a psychiatrist or MD. We also have an LCSW on staff that does assessments for us for other services that are reimbursed by MaineCare but no Medicare. We will need to bill his assessments possibly to Medicare for clients that have Medicare and Medicaid if we become contracted with Medicare. Does anyone have a good contact for discussing Medicare contracting questions especially in regards to Mental Health and enrolling?
Thank you in advance for your assistance.
Gretchen Lagassee