How will Providers be reimbursed if a Member receives 2 mental health services in the same day but with separate providers and how can crisis be billed by concurrent Providers?
If a service is covered then each provider bills under their own NPI and KMAP #. Services then are paid according to the fee schedule. If covered services are appropriate to be provided on the same day by different rendering providers, these services may be billed under each rendering providers NPI and KMAP # at the fee schedule rate. CPST, crisis intervention and attendant care services provided in multiple units on the same day may be billed with the 59 modifier. Crisis services may be billed concurrently with a screen if performed by different rendering providers. Information related to this FAQ was included in the 1.1 Provider Notice dated September 1, 2007 as well as in the August KHS Dispatch (Newsletter).
