Are you a provider that provides services to Aetna commercial plan (LOB) members? Then this blog post is for you!
According to Aetna the codes 90791 and 90792 will only be reimbursed once per every 6 months- to align with CMS.
If you are a provider located in NY please find the NGS Mental Health Policy here: https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=33632
Do you find this type of content useful? Follow my blog for more reimbursement information.
- FidelisCare-concurrent prior auth update for family and group therapy services.
- Healthfirst Pharmacy Update Contrast agent reimbursement
- NYS Medicaid to cover TCM (Therapeutic Transcranial Magnetic Stimulation)
- HealthFirst Telehealth mental health modifier update
- AETNA Commercial Plans: compression supplies non covered codes.
KR2 Medical Billing 