Billing > Facility Billing

Does any one have a list of ALL possible 2ndry Group/Adj codes?

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Lugoves:
Our Practice Management software has some Pre Loaded that are the most common [See initial post]. But I feel like I should better able to describe for example a balance going to a secondary for "Pip Benefits Exhausted" then just the Copay Co-insurance or Deductible ones 'Available' in the Software. It's not like I want all possible combination(s), I figured with the standardization of electronic billing someone would have created a table of Standard codes, but as you earlier indicated, I am mistaken.  

PMRNC:
Throw away those "loaded" codes.   Gear your mind to what I said "Good data in..good data out".  Anticipate what the client will WANT. For example, if your office is participating with BCBS but the doctor is thinking of getting out of the network, you will want to run the numbers. With that in mind he will want a total amount of write/off (adjustments) FOR BCBS compared to the total charge. To get that your database would have to be setup to bill at ONE Standard office fee schedule and then adjustments need to be entered PER carrier.  Example:   CPT XXXXX  $200 Billed Charge. BCBS allowable is $179.00   I would create CPT using the OFFICE fee schedule (actual charge) and my adjustment code might look like this: BCBSadj $21.00  I even take it a step further and break out PPO vs. HMO   BCBShmo  BCBSppo   
The more specific..the better the reports.

Lugoves:
I'm not talking about internal Adjustment codes or descriptions. Only the CO-45 PR 1,2,3 sent electronically to a 2ndry after Primary payment is received. They are not part of the reporting process of the software, nor are they traceable from any usable standpoint. I think I'm not communicating exactly what I mean accurately. Nevermind all. Thanks for your thoughts.

Pay_My_Claims:
whew........i'm tired  ;D

PMRNC:
Ahh ok, I gotcha now. But again, these are by payor and would most likely never be standard unless they find a way to make all carriers use the same system.. (not likely)

but out of curiosity..the code's are on the EOB's and there is always a description of the codes used per EOB. You could ac cumulatively create these master lists but again, I'm not seeing the point if the descriptions and codes are on the EOB.

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