Billing > Facility Billing
type of bill and value codes
Michele:
The last digit defines the frequency of the bill. 3 means interim continuing claim. The 2nd digit defines the bill classification. 6 means residential facility and 9 means other. Since they requested you change from 893 to 86x I would think the 3 for the 3rd digit would still be applicable. The rev code for H0019 would depend on what the treatment is for. For example 944 is for drug and 945 is for alcohol.
If you need more assistance we do have an ebook on completing the UB04 that contains a list of rev codes and a chart for determining type of bill. You can find it at:
http://www.medicalbillinglive.com/UB04-forms-book.shtml
Good luck
Michele
athacher:
I have a question regarding this as well. I sent a claim to Horizon BC with a bill type 867 (I have always used the 86- codes when billing with no problem from any other insurance company) Horizon BC is denying the claim for incorrect bill type stating the "6" means "outpatient". Have the bill type codes been changed and I'm just out of the loop?
Also we are a licensed RTC, but we are not a participating provider with any insurance carrier. Can I still use the UB04 or do I need to be using the CMS1500?
Michele:
The 6 actually means residential facility. 3 means outpatient. If you are a facility then you should be billing on the UB04. The CMS form is for the professional charges, not the treatment facility charges.
Michele
athacher:
Then is Horizon BC the one not playing fair with my codes? That's just rude... :-\
Michele:
We actually were just told today by BCBS of FL that we need to use type of bill 111 for our inpatient residential drug facility. We were using 861 which more accurately describes the facility, but they want the 111. You need to find out what they are looking for and use it (as long as it is not completely wrong).
Michele
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