Billing
Billing 2
Coding and FAN
100

What is the lowest level of care?

OP - Outpatient

100

What is the highest level of care?

Detox

100

What color does Coding use to alert Billers that a service can now be billed out on the FAN?

Green

200

What claim status is to be used when the claim has been entered in CMD?

On Hold status

200

What is the name of the claim form that is most often used for Detox, Residential, PHP and IOP services?

Institutional / UB-04

200

If a patient is Scholarship, what tab of the FAN will it go on? Banyan - Unbillable or Banyan - Response Required?

Banyan - Unbillable

300

What should the patient status be when the patient is still a patient?

30 - continuing

300

What hour should be used when the patient discharges?

The one on the patient's facesheet

300

If a patient is Missing Authorization or Pending DX, what tab will it go on?

Banyan - Response Required

400

If a patient discharges what 2 type of bills can be used?

114 and 111

400

What is the admission type that is used for lower levels of care?

3 - Elective

400

Which is not a requirement for the FAN? Patients should be listed in alphabetical order, patients should be listed by First Name then Last Name, the font should be Calibri and size 12, When the LOC is the same for a patient, all services should go on the same line.


The font should be Calibri and size 12

500

If a patient steps down to a new level of care and has new authorization should that go on the same claim or a different claim?

Different claim

500

Should mental health services be billed out of the medical claims address listed on the VOB?

No

500

What 2 numbers do medical codes start with? 

99XXX

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