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ASAP ROCKY TESTING DBR.EE CODE

Call and verify eligibility and benefits and ask specifically about this modifier,.

Other ways to ensure you know what modifier to use are to: While it is very rare to require HE for routine behavioral health claims, a service like TheraThink can call ahead to make sure it is being properly billed with HE or any other modifier. Medicaid coding standards can vary by state and even within them so it is important to know when this is relevant. One example is Rocky Mountain Health Plan based in Colorado has started to ask that mental health claims be filed with this standard. The majority of Medicaid plans do not require this claims modifier, but a few do. This includes most private insurance companies and Medicare. The vast majority of insurance companies do not require claims to be filed with a HCPCS modifier.

A billing service such as TheraThink can help to determine by asking the insurance company if HE is required when you file a claim. Instead it simply signifies a Mental Health Program.Ī similar modifier HF signifies a substance abuse program. Unlike, HN, HO, and HP, HE does not signify degree level. Another example is HO which signifies that the provider has a masters degree level. Insurance companies will sometimes request that modifiers be included in addition to the CPT codes.

ASAP ROCKY TESTING DBR.EE CODE

The most commonly used modifier in this group is HJ used to code Employee Assistance Program (EAP) visits. This H group of modifiers are used to describe something else about the claim beyond the procedure or ICD10 diagnosis code. The HE modifier is a H Code HCPCS modifier used in coding claims. HE Modifier for Mental Health Program Billing