Re: Speech Therapy and Health Ins. (Offlist response)

[Guest guest]

Hey -

I do the billing for an autism treatment center so I

might be able to help you ... however I've only been

working there for 3 weeks and it's my first experience

w/ billing speech therapy, so I don't know just HOW

much I'll be able to help. But I've already learned

a few things.

There are two codes that could be incorrect: the CPT

code (something like 92507 or close to that), or the

ICD9 (diagnosis) code. I'd bet the diagnosis code is

the one that is wrong ... they may have used 'autism'

diagnosis and should have used one that specifies what

type of speech problem is being treated ... I would

recommend you call the billing office and find out the

CPT and ICD9 codes that were used. You are more than

welcome to email them to me and have me check them for

you.

I have seen some United Healthcare pay for some

speech, depending on the type of group coverage

provided. Some may cover it only if it is related to

illness or injury, and that rules out autism

(according to their standards although WE believe it's

an illness). Do you know what restrictions there are

on your policy?

Just let me know if you need help.

--- Crosss <crosswilsons@...> wrote:

> Does anybody get health insurance coverage for

> Speech Therapy?

>

> We are in United Healthcare which covers Speech

> therapy with certain

> caveats. Our claim was rejected recently - stating

> that the incorrect codes

> were used. Further inquiry with United Healtcare

> confirmed this.

>

>

>

> So if you do get coverage - what codes do you use?

>

> Feel free to email me off line,

>

>

>

> Thanks

>

> Roebrt

>

>

>

> [Non-text portions of this message have been

> removed]

>

>

________________________________________________________________________________\

____

Be a better friend, newshound, and

know-it-all with Mobile. Try it now.

http://mobile./;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ