Medical Billing Forum

Billing => Facility Billing => Topic started by: Sbauman@changestreatmentc on February 06, 2015, 11:00:39 AM

Title: UB04 billing PHP and 90792/90791
Post by: Sbauman@changestreatmentc on February 06, 2015, 11:00:39 AM
Carriers are paying these grouped on UBO4 for our facility. The rev code for Initial evaluations was 900, now that rev code is rejecting.  :'(
Title: Re: UB04 billing PHP and 90792/90791
Post by: ABMUtah on December 29, 2015, 05:04:17 PM
I am writing you not because I have the answer to your question but because I am having issues of my own regarding PHP claims.  I cannot seem to get them right.  I am trying to figure out what the difference is between PHP and IOP claims?  Are you using modifiers with your HCPCS code?  I keep getting mine kicked back and denied for lack of information between boxes 42-49.  Not sure where the problem is.  If you know any information about this it would be very much appreciated. Thank you!!
Title: Re: UB04 billing PHP and 90792/90791
Post by: Michele on December 29, 2015, 09:13:15 PM
IOP - Intensive Outpatient
PHP - Partial hospitalization

If these are getting kicked out at the clearinghouse level I would start by contacting them.  Ask for a specific denial.  They really should be able to provide more information.