NC MEDICAID: No psychiatric providers available and NC Tracks does not work to provide payment
I don't know how many other ways NC Medicaid can screw up. The list seems limitless.
I called Western Highlands Network LME (going out of business as of October 1, 2013: HOORAY!; to be taken over by Smoky Mountain Center LME) to say that my client could not find a psychiatrist that would take Medicaid as a secondary payer (for dually eligible clients Medicare is primary; Medicaid is secondary; some psychiatric providers have simply thrown in the towel and just forget the Medicaid payment; others do not). So I asked: "Please give me the name of a psychiatrist that takes Medicaid under the WHN LME catchment area." Answer: "I can't do that. But here is the name of a 'center' that may take it: Mood Disorder Clinic over in Fletcher." I advised the client to call that clinic on Monday. If they don't take it, I'll create a stink all the way to Raleigh.
But I digress. This blog is about the mess w/ NC Tracks which is yet another tier of mess re: NC Medicaid. It seems they get threw screwing up some part of NC Medicaid...like with the LME's....then they purposefully tackle another part to screw up.
I am not receiving but part of my Medicaid payments. I use a biller. This is my letter to NC Tracks today:
"Marsha V. Hammond, PhD
Clinical / Health Psychology
NC Licensed Psychologist
cell: 828 772 5197
I called Western Highlands Network LME (going out of business as of October 1, 2013: HOORAY!; to be taken over by Smoky Mountain Center LME) to say that my client could not find a psychiatrist that would take Medicaid as a secondary payer (for dually eligible clients Medicare is primary; Medicaid is secondary; some psychiatric providers have simply thrown in the towel and just forget the Medicaid payment; others do not). So I asked: "Please give me the name of a psychiatrist that takes Medicaid under the WHN LME catchment area." Answer: "I can't do that. But here is the name of a 'center' that may take it: Mood Disorder Clinic over in Fletcher." I advised the client to call that clinic on Monday. If they don't take it, I'll create a stink all the way to Raleigh.
But I digress. This blog is about the mess w/ NC Tracks which is yet another tier of mess re: NC Medicaid. It seems they get threw screwing up some part of NC Medicaid...like with the LME's....then they purposefully tackle another part to screw up.
I am not receiving but part of my Medicaid payments. I use a biller. This is my letter to NC Tracks today:
"Marsha V. Hammond, PhD
Clinical / Health Psychology
NC Licensed Psychologist
cell: 828 772 5197
Dear NC Tracks:
When I call your 1 800 number given to providers in your e mails, I am told: "Your call cannot be answered at this time. Please call back at a later time."
This is unacceptable. Put some more people to work answering these important calls.
I am calling to find out if you have my taxonomy code correct---the one I have used for 10 years---or if I am supposed to have some other taxonomy code. My taxonomy code is: 103TCO700X.
IS THIS THE CORRECT CODE? My understanding is that this is the code for doctoral level psychologists. I am one of those.
I also note that though Medicare no longer requires Place of Service, your recent note to providers indicates that POS IS REQUIRED. IS THIS THE REASON MY BILLING IS BEING DENIED? "
0 Comments:
Post a Comment
<< Home