Billing > Billing

CORRECT FL BLUE OUTPATIENT DETOX CODES

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Michele:
Wow, that is crazy. 0944 is a very common rev code for addiction.  And of course they refuse to tell you what you should be using in place of it. 

You could use 0914 but that's not really the same thing.  Can you bill it on the CMS 1500 with the H0014?

WhitanyaS:
Hi again,

Yes, 0944 is common op detox so we are stuck. 0914 is Individual Therapy; the medical records wouldn't pass review if we did and they were requested. I guess we could try the H-code on the 1500 but we are a facility and professional claims tend to get paid less. Any thoughts?

Thanks

PMRNC:
How are you credentialed with them? Them telling you it's not in their fee-schedule suggests to me maybe you are not credentialed properly? I would contact your provider rep, i wouldn't change the claim form and of course why should you take a big cut in reimbursement?

WhitanyaS:
Hello,

We are out of network.

Thanks,

Michele:
Well if you are out of network then it seems like it's the patient's issue.  Maybe if the patient contacts them they will be more helpful.  Obviously in this country D&A rehab is a common service so how 0944 is not in their fee schedule is beyond me.  Are you filing as a courtesy to the patient?

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