DecisionHealth, DecisionHealth - 2009 Issue 3 (March)

Ask a Part B News expert

This week's question is answered by John Bishop CPC, PA-C, Senior Consultant for DecisionHealth Professional Services.

Q. We keep getting denials when two providers perform 90801 (mental health initial evaluation, $152.92) for the same patient. One provider provides therapy and the other manages the patient's medication. The assessments are different for each provider. Medicare denies the second claim and states this is "too many services." Can you shed any light on why we're getting the second denial?

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