Important changes to Telehealth reimbursement rates

It’s important to stay on top of regulatory changes and Simplexam has got you covered. One of the changes made this year regarding Place of Service affects reimbursement rates for psychological testing conducted via telehealth if the patient is seen anywhere other than his/her home or the Examiner’s office. If the patient is seen in… Continue reading Important changes to Telehealth reimbursement rates

QME Billers & Collectors: Don’t be deterred when “Your claim is denied!”

Often, collectors will call the bill reviewer or adjustor and be told “Your claim is denied.” Inexperienced collectors will hear this and give up, mistakenly believing nothing else can be done and that the denial is final. But – there is a difference between the applicant’s claim – aka case-in-chief (CIC) – and the bill… Continue reading QME Billers & Collectors: Don’t be deterred when “Your claim is denied!”

Boost QME Medical-Legal Bill Approval with these Helpful Tips from our Simplexam Billing Expert

Pursuant to Title 8CCR §9793(l&n), when submitting a bill, providers should always include:  In the rare instance where there is no advocacy letter, providers can supply the “Request for the QME.” Sometimes that might just be an email or fax.  When billing for no-shows, billers should include the request to cancel the appointment. Even if… Continue reading Boost QME Medical-Legal Bill Approval with these Helpful Tips from our Simplexam Billing Expert