Blog | Marie Matteson, MS

Notes on stress, healthcare systems, medical billing, and what is really going on underneath the problem.

Written by Marie Matteson, MS

Can I Use POS 12 With Modifier 95 for a Telehealth Visit?

Can I Use POS 12 With Modifier 95 for a Telehealth Visit?

Can I Use POS 12 With Modifier 95 for a Telehealth Visit?Marie T Matteson MS
Published on: 06/10/2026

POS 12 is not a telehealth code. The correct telehealth place of service is 10 or 02, and the advice that 12 pays better is a garbled version of something real. What CMS actually says, for psych and behavioral health.

telehealthplace of servicemodifier 95behavioral health billingmedical billing
Premera Is Reducing Therapy Payments Starting 4 December 2026

Premera Is Reducing Therapy Payments Starting 4 December 2026

Premera Is Reducing Therapy Payments Starting 4 December 2026Marie T Matteson MS
Published on: 06/10/2026

Premera approved version 4.0 of its Physical Medicine and Rehabilitation policy on 18 August 2026, adding a multiple procedure reduction effective 4 December. Only the highest therapy procedure pays in full. What it cuts, who it hits, and what to check first.

premeraphysical therapy billingchiropractic billingmultiple procedure reductionpayment policymedical billing
Can AI Post Your Insurance Payments? What the Software Can and Cannot See

Can AI Post Your Insurance Payments? What the Software Can and Cannot See

Can AI Post Your Insurance Payments? What the Software Can and Cannot SeeMarie T Matteson MS
Published on: 06/10/2026

AI tools like Lassie can now post insurance payments. Here is what they see, what they miss, and the questions to ask before you hand over your remittances.

payment postingAI in medical billingLassieremittanceaccounts receivablesecondary claims
Rejected or Denied? The Difference Decides What You Do Next

Rejected or Denied? The Difference Decides What You Do Next

Rejected or Denied? The Difference Decides What You Do NextMarie T Matteson MS
Published on: 24/09/2026

A rejected claim never reached the payer. A denied claim was refused. Treating them the same is one of the quietest reasons claims sit unpaid past 90 days.