Author Topic: Billing Question  (Read 1173 times)

KathyG

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Billing Question
« on: August 17, 2010, 08:46:07 AM »
Hi!

I'm new to all this...so please bear with me!

I just receive my "big pack" for mental health medical billing.  Up to this point I have been learning through the "school of hard knocks."  I noticed that in box #29 on the CMS 1500, you have $0.00.  I have been putting the co-pay amount we received in this box.  I guess I have been doing it incorrectly.  Could you please confirm and explain why this box has 0.00 as the amount paid?  Thank you!

Michele

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Re: Billing Question
« Reply #1 on: August 17, 2010, 09:32:21 AM »
Actually, there is some controversy on this.  We have always put a $0 in box 29, for 15 plus years.  We were told to do it that way, by a very large national insurance carrier.  They told us that putting in the payment "messes things up".  Their example was, if you put in a charge for $80, and show a $20 copay then they would process the charge at $20.  Now I know this makes no sense and is an issue in their processing system.  BUT, like I said we were told to do it that way, and it hasn't been a problem for 15 plus years.  HOWEVER, I do not believe it is wrong (I personally believe it is right) to enter the payment there.  So if you are putting the amount paid there, and it isn't a problem for you, I would leave it.  We are in the process of switching software systems and our new system puts in the payments. 

Michele
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KathyG

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Re: Billing Question
« Reply #2 on: August 18, 2010, 05:07:51 PM »
Thanks, Michele, for your reply and for all you do to help others :)

PMRNC

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Re: Billing Question
« Reply #3 on: August 19, 2010, 09:35:23 AM »
I've always entered the payment
Linda Walker
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Pay_My_Claims

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Re: Billing Question
« Reply #4 on: August 27, 2010, 07:20:49 PM »
I've always entered the payment

so have I, and it has never processed incorrectly