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I have received payment for psychiatric services and they weren paid at the regular 80% approved amount that Medicare generally approves, why?

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I have received payment for psychiatric services and they weren paid at the regular 80% approved amount that Medicare generally approves, why?

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Reimbursement is based on 62.5 % of the Medicare allowed amount for outpatient mental health services. The “outpatient” mental health treatment limitation is the actual expense that a beneficiary incurs for treatment of mental, psychoneurotic, and personality disorders while the beneficiary is not an inpatient of a hospital at the time such expenses are incurred. (Question based on April 2007 top phone inquiries) Date Posted: 06/01/2007 Go to Top • I have received duplicate refund requests for the same patient account. Am I required to send two refunds back to Medicare. If you have already refunded Medicare as requested on your initial refund request, there is no need to submit another refund to Medicare.

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