I have just started doing the insurance billing at a youth residential treatment center. We are out-of-network, in-patient, 10 month average program. I have SO many questions. First off, we accept youth from all over the world so I won't have specific states I bill to. Second, this is a self pay program, we send claims as a courtesy to the parents but don't guarantee benefits, but I would like to get as few denials as possible, obviously.
So, which form should I use, I also have been told to use both the 1500 and the UB04? I would like to use software, but I don't need a lot of the bells and whistles that I am seeing in a search. Also, do we need an NPI # or is our taxID# sufficient?
Do you also have any suggestions or hints on getting a preauth? We only have 48 hours to get one, but there are so many unrealistic hoops we have to jump through and I have never been successful in getting a preauth #. I always have to submit everything for a "retro review".
Any guidance you can give me would be very much appreciated. Thanks!!