Medical Billing Forum

Coding => Coding => Topic started by: cardinal2008 on June 12, 2008, 10:29:06 PM

Title: Billing Multiple Payers
Post by: cardinal2008 on June 12, 2008, 10:29:06 PM
Home Health(23) -I have a patient with MCR for Skilled Nursing and Ohio MCD Waiver for his non skilled need(Home Health Aide) which MCR won't cover. Do I need any occurrence and or value codes or should I exclude each payer from each claim and send seperate

Michael
Title: Re: Billing Multiple Payers
Post by: Michele on June 13, 2008, 01:59:10 PM
Hi,
   I haven't had this particular situation before but it sounds like an occurrence or value code would not be appropriate.  I'm not sure what you mean by exclude each payer from each claim.  What form are you using to submit the claims?

Thanks
Michele
Title: Re: Billing Multiple Payers
Post by: cardinal2008 on June 13, 2008, 05:41:34 PM
Hi Michelle,

I bill all medicare claims on ub04 and all medicaid waiver claims on a 1500.
What I meant by exclude is to not have either MCR AS SECONDARY ON MY 1500
OR MCD AS SECONDARY ON MY UB04.
I hope that clarifies what I meant.