Medical Billing Forum

Payments => Insurance Payments => Topic started by: wharta on January 12, 2010, 10:58:00 AM

Title: multiple charges
Post by: wharta on January 12, 2010, 10:58:00 AM
I have a encounter form with dates of service from the 16th to the 1st. Can I split this up and make 2 seperate claims for all the procedures or can I just add each unit for the code such as 99223- 5 units and put the date range as the 09162009-10012009?
Title: Re: multiple charges
Post by: Michele on January 13, 2010, 09:55:58 AM
There was a blurb in BC Advantage last month regarding this exact thing.  And they said the same thing I will say here - you stand a better chance of getting the services paid if you split each visit out on a separate line.  Many insurance carriers do not process them correctly when you will them with a unit greater than 1.  Seems like it should work, but it doesn't.  JMO

Michele
Title: Re: multiple charges
Post by: wharta on January 13, 2010, 01:27:38 PM
Thanks, so I can just make maybe 3 seperate claims for the same continious service? Just change the hospitalization date to reflect the line items?
Title: Re: multiple charges
Post by: Michele on January 14, 2010, 05:47:22 PM
You will want to bill a separate line for each date of service.  It will take a few cms forms since you can only fit 6 lines on a claim.

Michele
Title: Re: multiple charges
Post by: wharta on January 15, 2010, 01:11:24 PM
So i can just make different claims? Do i need to change the hospitalization dates to the ones that are reflected  in the procedures or do i keep that the same?
Title: Re: multiple charges
Post by: Michele on January 16, 2010, 10:14:02 AM
I would put the admission date thru the discharge date (if discharged) on each claim.

Michele