RNB's
Billing Basics
Site Specific
ROI
Hodge Podge
100
This RNB is used when billing EKG code 93000
What is RNB CHARGES SPLIT (BL01)?
100
This is the rate type used for billing an Outpatient Claim
What is RATE TYPE 8?
100
This insurance must be combined on the UB in Lebanon if it has a certain Alpha prefix
Who is Capital?
100
This is the option in Claims Tracking that you would select to view a ROI.
What is the RO Option? (ROI Consent)
100
This is the full name for the abbreviation TPJI, used to view claim numbers and specific claim information.
What is Third Party Joint Inquiry?
200
This RNB is used when billing for an Insurance that covers Emergent Care only, and the CPT code is not an ER Visit
What is RNB HMO POLICY (CV03)?
200
This is the option on your bill that you can view the veteran's insurance policy details from IV
What is (?INX) ?
200
This is the VISN 4 UR Nurse.
Who is Kathleen Bolsover?
200
These are the Protected Conditions of a ROI.
What is Drug Abuse, Alcoholism, Sickle Cell Anemia, and HIV conditions?
200
Name 2 insurances that will not accept the 510 on the UB side.
Aetna APWU BCBS of RI BC NENY & BCBS W. NY HVP Independence Blue Cross Mamsi Plumbers & Pipefitters
300
This RNB CODE is used when there is a Noncovered Provider attached to your encounter that you cannot bill for.
What is RNB CV20?
300
This is the coding method that is used for the UB when billing Outpatient claims
What is coding Method ICD-9?
300
This is the FRM in Pittsburgh
Who is Tamela Gutierrez?
300
This is the cancellation code used when a ROI has been refused by default
What is XMC12?
300
You will get a scrubber error for missing this if you bill a pathology code using the incorrect POS/TOS.
What is the CLIA number?
400
This RNB CODE is used when a Veteran Refuses to Sign a Release of Information
What is RNB MC02?
400
These providers are needed when billing an Xray Visit on a professional claim
Who is a Rendering and Referring provider?
400
The DME biller for Pittsburgh
Who is Beth Leibfried?
400
This is the correct way to cancel a claim for a ROI needed for Alcohol Abuse, for Date of service 12/1/2016.
What is XMC12- ROI required/Alcohol Abuse/Dos 12/1/16?
400
This is the Place of Service used when billing the profee for a Provider-Based CBOC.
What is POS 19?
500
This RNB NAME AND RNB CODE is used when a service is provided by a RN and was performed at a Non-Provider Based CBOC
What is RNB NAME 'ANCILLARY PROVIDER AT CBOC' and RNB CODE MC15?
500
This provider must be deleted from each procedure code on the UB
What is the Rendering Provider?
500
This is the POS for the Heinz Division in Pittsburgh
What is Place of Service 22
500
This date is the date that must fall between the Effective/Expiration date of the ROI, in order to bill.
What is the 'date you are billing the claim'?
500
This is the appropriate way to bill anesthesia with the following modifiers: P3, QX, QS
What is modifier QX, QS, P3?
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