Medical Billing Forum
Billing => Facility Billing => : sls February 04, 2011, 04:34:03 PM
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PAYER NAME/ID: BLUE SHIELD OF NJ 22099
ERROR MESSAGE: ADMISSION TYPE CODE: REQUIRED; MUST BE PRESENT ON INPATIENT
CLAIMS
FLD: SEQ: FIELD NAME: DATA IN ERROR:
ERROR MESSAGE: ADMISSION SOURCE CODE: REQUIRED; MUST BE ENTERED ON INPATIENT
CLAIMS
FLD: SEQ: FIELD NAME: DATA IN ERROR:
ERROR MESSAGE: ADMISSION DATE: REQUIRED; MUST BE ENTERED ON INPATIENT CLAIMS
FLD: SEQ: FIELD NAME: DATA IN ERROR:
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Looks like you are trying to bill an inpatient claim and missing vital information
The admission type is needed (1 2 3,4) ( urgent, emergent, newborn or elective)
the admission source--via er, direct admit etc
and the admission date is needed
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we are billing for outpt rehab drug/alcohol . the code we are using is 90853. why would they think it is for inpt any ideas are welcome...
we can submit these claims on paper and get paid, but when we submit to emdeon this is the rejection code we get.
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I would call Emdeon. Sounds like a mapping issue.
Michele
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we are billing for outpt rehab drug/alcohol . the code we are using is 90853. why would they think it is for inpt any ideas are welcome...
we can submit these claims on paper and get paid, but when we submit to emdeon this is the rejection code we get.
are you billing 90853 on the cms 1500 or the UB04?--is the insurance Cigna? They use that while others use the h0015
if you use the incorrect revenue code should be 906, if its outpatient facility for saiop services. then the scrubber in the software will reject the claim. if you are using a rev code that is set up for inpatient charges. or even the wrong type of bill code
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90853 is a therapy group code. Is this what was rendered? Check your POS. But I agree, you may want to call emdeon.