Medical Billing Forum

Coding => Coding => Topic started by: VABiller on September 09, 2008, 09:13:48 AM

Title: National qualifiers for Coins and Ded
Post by: VABiller on September 09, 2008, 09:13:48 AM
Is anyone aware of a national qualifier for coinsurance and deductible.  I am aware of the value codes billed on the UB04, but I'm looking for codes to bill on the CMS 1500. 

Thanks
Title: Re: National qualifiers for Coins and Ded
Post by: Michele on September 09, 2008, 10:16:17 AM
National qualifiers aren't used on the CMS forms.  What are you looking to bill for?

Michele
Title: Re: National qualifiers for Coins and Ded
Post by: VABiller on September 09, 2008, 10:40:23 AM
looking to bill for medicare coinsurance and deductible on the CMS 1500
Title: Re: National qualifiers for Coins and Ded
Post by: Michele on September 09, 2008, 11:58:29 AM
So you are billing secondaries out after Medicare processed? 

You would bill the charges that were billed to Medicare with the same amounts as Medicare was billed, but attach the Medicare eob to show how Medicare processed (applied to deductible, or patient responsibility).

Michele