Author Topic: UB04 billing PHP and 90792/90791  (Read 2284 times)


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UB04 billing PHP and 90792/90791
« 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.  :'(


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Re: UB04 billing PHP and 90792/90791
« Reply #1 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!!


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Re: UB04 billing PHP and 90792/90791
« Reply #2 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.
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