Coding > Coding
Billing service units
missy1katie2:
I have a home care company and I provide an LVN in the home from 7a-7p seven days a week. I also provide a CNA in the home for this patient from 7p-7a. I also provide 2 hours a month of Social Work for this case. How do I do I calculate service units for Box 46 of UB04 since I bill and pay for 12 hours at a stretch. Do I multiple service units by 4 since 4 units equal 53 minutes. Help- don't have a clue- billing on a UB 04 or any kind of billing for insurance- completely need to me. Your workbook helped a lot, still have unanswered questions. Thanks
Michele:
If a unit for the rev code you are billing is 13-15 minutes then I would calculate how many units in a 12 hour shift (48 units?) and put that in the units for each date of service. Also put the total amount for the 12 hours in the total charges column.
The only part I'm not sure about is the '53 min = 4 units'. Divide the number of minutes in a unit into 720 minutes (12 hrs x 60 min).
Michele
missy1katie2:
Hi thank you for your response. I got the formula for calculating units from your the e book "How to fill ..: I am quessing the rev codes for the services I am providing are 0550 Licensed Vocational Nurse, 0570 Certified Nurse Assistant, 0560 Social Work. 0550 and 0570 do not make visits- they do a 12 hour shift each. Would they be considered hourly or other since they do not do visits. This is a workers comp claim for a patient that has benefits through their life span due to a law suit. Workers comp is requesting an ub 04 form. ???
Michele:
When billing for 0550, 0560, & 0570 rev codes the following chart would show how to bill the services. You would replace the last digit with the appropriate one:
1 Visit charge
2 Hourly charge
9 Other medical social services
So for a 12 hour shift you would bill 0572 with 12 units for a 12 hour shift.
Hope that helps.
Michele
missy1katie2:
Thank you so much. I reply not sure what happened to it. Do I need to use the value code boxes since these are all workers comp claims from the same provider and if so would that be number 15 and would the amounts be the money charges or the hours billed. There are no other parties involved. Thanks so much, you are a life saver.
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