Billing > Facility Billing

can anyone with rej. from emdeon-i have no clue how to fix

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sls:
PAYER NAME/ID: BLUE SHIELD OF NJ    22099                                                                                           
ERROR MESSAGE: ADMISSION TYPE CODE: REQUIRED; MUST BE PRESENT ON INPATIENT                                                         
CLAIMS                                                                                                                             
FLD:         SEQ:     FIELD NAME:                  DATA IN ERROR:                                                                   
                                                                                                                                   
ERROR MESSAGE: ADMISSION SOURCE CODE: REQUIRED; MUST BE ENTERED ON INPATIENT                                                       
CLAIMS                                                                                                                             
FLD:         SEQ:     FIELD NAME:                  DATA IN ERROR:                                                                   
                                                                                                                                   
ERROR MESSAGE: ADMISSION DATE: REQUIRED; MUST BE ENTERED ON INPATIENT CLAIMS                                                       
FLD:         SEQ:     FIELD NAME:                  DATA IN ERROR:

Pay_My_Claims:
Looks like you are trying to bill an inpatient claim and missing vital information

The admission type is needed (1 2 3,4) ( urgent, emergent, newborn or elective)

the admission source--via er, direct admit etc

and the admission date is needed

sls:
we are billing for outpt rehab drug/alcohol .   the code we are using is 90853.  why would they think it is for inpt any ideas are welcome...
we can submit these claims on paper and get paid, but when we submit to emdeon this is the rejection code we get.

Michele:
I would call Emdeon.  Sounds like a mapping issue.

Michele

Pay_My_Claims:

--- Quote from: sls on February 04, 2011, 06:00:32 PM ---we are billing for outpt rehab drug/alcohol .   the code we are using is 90853.  why would they think it is for inpt any ideas are welcome...
we can submit these claims on paper and get paid, but when we submit to emdeon this is the rejection code we get.

--- End quote ---

are you billing 90853 on the cms 1500 or the UB04?--is the insurance Cigna? They use that while others use the h0015

if you use the incorrect revenue code should be 906, if its outpatient facility for saiop services. then the scrubber in the software will reject the claim. if you are using a rev code that is set up for inpatient charges. or even the wrong type of bill code

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