MSP
What is the value code for ESRD
13
If claim edits for add on code, where should this claim be sent?
Revenue Control
If ABN is unsigned or an option is not designated can we bill the patient?
NO
What condition code would you use for an adjusted claim to make Medicare primary?
D7
What is the plan code for Medicare recurring accounts
M90
What are we billing for if were using occurence code 24 with date of denial
Conditional Payment
What modifier is used for a signed ABN?
GA
If the acct is MVA related and drops with a OCC code what do we do with the claim?
Add to Occurence tracking log spreadsheet
What form do we use to have a dod corrected?
CCRF
What is the 2020 Medicare part A deductible?
$1408
If primary pays in full, which condition code would you use?
77
On an MSP claim, what Value Code would you if the segment is Workers Comp
14
What Condition Code would you use to add or correct a dx code
D4
How would you report the primary insurances contractual allowance?
Carc Code CO 45
Which two months do not get split for IP accts for both Baltimore and DC?
Dec/January
How long should we wait to bill a claim for LTR days if we have not recieved a response back from the patient?
1 week
What makes up value code 44
Primary payment + Patient responsibility
If hcpc 93005 is billed with any other service, which modifier would you add?
59
If claim edits for use of LTR days, which condition code would you place on the claim if given permission
68