Comments for Medical Billing Answers Blog http://www.medicalbillinganswers.com/mbablog Questions, Solutions and Commentary on Medical Billing / Revenue Cycle Issues Thu, 04 Oct 2018 14:28:07 +0000 hourly 1 https://wordpress.org/?v=5.0.2 Comment on Revenue Codes In More Detail by Mitch Mitchell http://www.medicalbillinganswers.com/mbablog/revenue-codes-in-more-detail/#comment-79 Thu, 04 Oct 2018 14:28:07 +0000 http://www.medicalbillinganswers.com/mbablog/?p=156#comment-79 Glad to help. BTW, something else you can do is create a no-dollar charge with the description you want and track those patients that way. It’s legal as long as you don’t price it or code it.

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Comment on Revenue Codes In More Detail by Trish http://www.medicalbillinganswers.com/mbablog/revenue-codes-in-more-detail/#comment-78 Thu, 04 Oct 2018 13:18:44 +0000 http://www.medicalbillinganswers.com/mbablog/?p=156#comment-78 Thank you, I appreciate you taking the time to respond. I understand your reply and unfortunately it appears that the HCPC H0015 can be used for both PHP and IOP services and I was hoping the rev code would be the key to identifying PHP.

I work on the insurance side and am trying to marry auth’s with claims so the psychologists can identify and create an action plan to reduce barriers to care for fallouts.

Thank you again for your time.

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Comment on Revenue Codes In More Detail by Mitch Mitchell http://www.medicalbillinganswers.com/mbablog/revenue-codes-in-more-detail/#comment-77 Wed, 03 Oct 2018 22:04:57 +0000 http://www.medicalbillinganswers.com/mbablog/?p=156#comment-77 Before I respond to this, I need to let you know that it’s a bit out of my normal realm. Therefore, most of what I’m saying is based on opinion based on the little bit of research I’ve done; there are no guarantees that I’m totally right. If more is needed, I’ll have to charge a consulting fee.

With that said, from what I’ve found, if you use either revenue code 912 or 913 you can only put non-dollar charges on them. Those two codes aren’t supposed to have dollar amounts; they’re mainly used for reference purposes to help better identify what’s being done. It looks like 910 should be used for any charges with fees, which actually makes things easier on the revenue front.

Based on how you asked the other question, I’d have to say the best way to capture patients receiving PHP services would be either the HCPCS code or diagnosis codes being used. If you’re only talking alcohol and drug rehab services, H0001 – H0016 would identify those patients well, but there are other codes that might also do the trick. It’s probably a better way to identify them than by diagnosis codes, which have way more meanings than your specific question. You probably found this already but here’s a link to the diagnosis codes: https://dss.mo.gov/mhd/cs/pharmacy/pdf/substance-use-disoder-diagnoses-codes.pdf

Good luck with it all; I hope this has helped.

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Comment on Revenue Codes In More Detail by Trish http://www.medicalbillinganswers.com/mbablog/revenue-codes-in-more-detail/#comment-76 Wed, 03 Oct 2018 18:17:23 +0000 http://www.medicalbillinganswers.com/mbablog/?p=156#comment-76 I’m having trouble identifying PHP behavioral health services by HCPC, H0015 alone as requested by psychologist. I’ve queried the database using either H0015 or rev codes 0912 or 0913 and ICD10 DX to differentiate the SUD vs. MH patients. I also am looking at place of service codes, but not limiting them. In your opinion, is there another, better way to find patients receiving behavioral health PHP services, by SUD DX and MH DX?

Would it be accurate to say that if the rev code 0912 or 0913 is used, barring coder errors, we will capture all patients receiving PHP services?

Thank You

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Comment on Patient Satisfaction In Patient Accounting by Mitch Mitchell http://www.medicalbillinganswers.com/mbablog/patient-satisfaction-in-patient-accounting/#comment-75 Wed, 15 Aug 2018 02:15:33 +0000 http://www.medicalbillinganswers.com/mbablog/?p=111#comment-75 Thank you Lisa. I’ve always viewed the patient experience as the most important factor towards good patient care.

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Comment on Patient Satisfaction In Patient Accounting by Lisa Brown http://www.medicalbillinganswers.com/mbablog/patient-satisfaction-in-patient-accounting/#comment-74 Tue, 14 Aug 2018 23:52:15 +0000 http://www.medicalbillinganswers.com/mbablog/?p=111#comment-74 Lovely article Mitch. Consumer satisfaction is the core requirement for any successful business and in the case of healthcare patient satisfaction is the most important thing. Thank you for the focusing on this important topic.

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Comment on Revenue Codes In More Detail by Mitch Mitchell http://www.medicalbillinganswers.com/mbablog/revenue-codes-in-more-detail/#comment-72 Thu, 17 May 2018 17:08:33 +0000 http://www.medicalbillinganswers.com/mbablog/?p=156#comment-72 Inpatient rules are different than outpatient. In this case, the diagnosis and procedure codes probably indicate a pediatric patient. Using 0203 is proper because it’s more of an indication of the type of patient and not necessarily a location. That’s because the general description for 200 is Intensive Care, not Intensive Care Unit. It’s a tight description but the assumption is that your insurer knows what you have and as long as they tell you what to bill to get paid it’s legitimate. Just make sure you save that paperwork!

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Comment on Revenue Codes In More Detail by Krystal http://www.medicalbillinganswers.com/mbablog/revenue-codes-in-more-detail/#comment-71 Thu, 17 May 2018 15:56:22 +0000 http://www.medicalbillinganswers.com/mbablog/?p=156#comment-71 Can Revenue Code 0201 be used for a 2 month old patient that is boarded in the Surgical ICU? We billed the charge using this and was denied for not using 0203 for Peds ICU, but the patient wasn’t in the Peds ICU.

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Comment on Records Retention In Health Care by Mitch Mitchell http://www.medicalbillinganswers.com/mbablog/records-retention-in-health-care/#comment-70 Thu, 19 Apr 2018 01:14:56 +0000 http://www.medicalbillinganswers.com/mbablog/?p=536#comment-70 Most companies know their own state rules, and hopefully they know the federal rules they need to follow. I learned about the ways different states see this many years ago when we got a request from Texas for records for a patient who hadn’t been at our hospital in New York for 18 years.

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Comment on Records Retention In Health Care by Lucy Gibson http://www.medicalbillinganswers.com/mbablog/records-retention-in-health-care/#comment-69 Wed, 18 Apr 2018 23:25:49 +0000 http://www.medicalbillinganswers.com/mbablog/?p=536#comment-69 It was interesting to read that each state has its own requirements for how long hospitals and billing offices need to retain their records and it can range from 6 to 20 years. I also didn’t know that according to HIPAA rules, records must be retained for at least 2 years after someone dies. I would assume that any company that deals with medical records and other sensitive information should be properly trained and well versed with all the federal and state HIPAA requirements. Hiring a company to come in and help train might be very helpful and prevent any breaches.

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