Medical Billing Forum

General Category => General Questions => : rdmoore2003 April 21, 2011, 07:34:36 PM

: help with hospital
: rdmoore2003 April 21, 2011, 07:34:36 PM
My provider is looking into becoming credentialled with a local hospital.  As for now, he is just going to be doing psychological testing there.   They want us to do his billing.  Once he is affiliated with the hospital, what do I do?   I know that I would need to contact all insurance companies that we are networked with, but would we have contract with all insurances that the hospital takes?  I have never worked for a hospital or facility, therefore, I have know idea about UB04 claim forms.   Please help.   I dont have time to do my job now much less do something like this.  I WOULD APPRECIATE ANY GUIDANCE.
: Re: help with hospital
: PMRNC April 24, 2011, 12:31:03 AM
If you are still going to be billing for his services it's still the professional component's and still billed on the CMS1500
: Re: help with hospital
: rdmoore2003 April 26, 2011, 01:23:06 PM
ok great.  What about the rest?  Would I need to get doc networked with all the same insurances or will it be considered the exact same as now, in reference to the cms1500 form. ( meaning all is the same exept listing hospital in box 32?
: Re: help with hospital
: Michele April 27, 2011, 09:45:27 AM
All is the same except box 32 and the POS.  If he is already networked, that doesn't change.  If he is not networked and wants to be you have to contact each insurance carrier and find out how to get in network.
: Re: help with hospital
: rdmoore2003 April 27, 2011, 02:08:56 PM
That is what I was thinking.   Now, we have a testing technician.  Is there a way that the testing technician could administer testing at the hospital on his own? Or, does the psychologist need to be there also?
: Re: help with hospital
: Michele April 28, 2011, 09:42:33 AM
testing technician?  what are they testing?  Like psychological testing?
: Re: help with hospital
: rdmoore2003 April 29, 2011, 01:17:51 PM
yes psychological testing   cpt code 96102
: Re: help with hospital
: rdmoore2003 May 09, 2011, 02:14:43 PM
any help?????, ideas?????
: Re: help with hospital
: PMRNC May 09, 2011, 06:54:15 PM
What are the credentials of the testing technician? That is what it will come down to, any less than pHD and they will need to be supervised. (on site)
: Re: help with hospital
: rdmoore2003 May 12, 2011, 06:34:08 PM
ok thanks