I am aware that in some areas to use a 300 level dx to indicate mental disease or process, the payer will down pay about 50% to the family practice or internal medicine, just because there is the availablity of mental health in your area. As far as paper claims you need to check with the payer regarding scanned information, if they do not allow scanned info then you must communicate that some claims must be submitted via paper, they truely must allow one or the other. If you run into the brick wall, then request the number for the CMS regional office and contact them for a solution. This office is there to help when the brick wall has been met.
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