HB Division
MEDICAL SERVICES – ED/IP/OP
OCCURRENCE CODES & CONDITION CODES
DOCUMENTATION & BILLING LOGIC
100

Who is Associate Director of HB- Division and his employee id 

Rohit Verma- COR1015

100

Emergency department visit levels range from 99281 to 99285. The highest level indicating high severity with threat to life is?

99285

100

Occurrence codes capture important dates related to the claim. Example: OC 11 represents?

Date of Onset of Symptoms/Illness

100

A denial that can often be overturned by submitting physician orders, progress notes, or procedure reports.

Medical Records / Clinical Documentation denial

200

Who is Onshore and offshore Manager of Marlette?

Offsore- Nidhi Dagar

Onshore - Aretha  Murphy(Manager revenue Cycle client operation)

200

An ED visit that requires minimal examination and is typically for minor issues.

99281

200

Occurrence code 01 on a hospital claim represents this date.

Accident/Trauma date

200

The claim element that links diagnosis to service, impacts payment, and determines coverage.

Medical Necessity

300

Who is Onshore Manager of Hills and dales ?

Jenny Burner

300

A medical service status where a patient is formally admitted and requires at least 2 midnights of care.

Inpatient status

300

A condition code used to indicate non-availability of a required ABN (Advance Beneficiary Notice).

Condition Code 20

300

This occurrence code reports the date the patient became covered under the payer’s plan

Occurrence Code 24 – Date Insurance Effective

400

Who is Onshore Manager of Allendale ?

Teri Christensen

400

Medical services where the patient receives treatment but does not stay overnight

Outpatient care

400

The condition code that tells the payer the patient received care in a hospice facility.

Condition Code 07

400

The outpatient hospital claim type of bill for emergency room visit is ___?

131 (Hospital Outpatient)

500

Who is the Brand Ambassdor of Coronis Health

All of Us

500

The inpatient claim form hospital uses for billing these services

UB-04 (CMS-1450)

500

Condition codes generally describe the circumstances affecting the billing process.

supporting claim conditions that clarify the situation of billing

500

The type of service where observation hours, ED visits, and minor surgeries usually fall.

Outpatient category