Billing > Billing

Medicare Box 14 date

(1/1)

KARREN:
Can someone please clarify box 14 Medicare.. 

Medicare part b only
Box 14   Is the date you 1st seen the patient for that condition, that condition is  the diagnosis in box 21 (First dx)

Scenario
Dos 8/23/13  fee slip with dx 726.0,723.3,724.4,728.85    box 14 date= 8/23/13. 

Dos 10/28/13 fee slip with dx 724.6,722.52,724.6,728.85  box 14 date changes to 10/28/13.

Dos 11/6/13  fee slip with dx 726.0,723.3,724.4,728.85  box 14 date changes back to 8/23/13, since the patient was 1st seen for dx 726.0 on 8/23/13..    ***Please confirm box 14 date ?=is it ok to go back to  date 8/23/13 or should I just update it to 11/6/13. 

Michele:
I wish it was that easy.  The problem is was the 726.0 from the 8/23/13 resolved and then reappeared on 11/6/13?  Or did the patient still have the 726.0 for the entire time?  If the patient basically was relieved of the 726.0 and then it reappeared I would consider updating to the 11/6/13 date for box 14.  BUt if they suffered from the 726.0 from 8/23/13 - 11/6/13 then I would still use the 8/23/13 in box 14.

Did I help or make you more confused?   :o

KARREN:
you helped.  Thank you so much, I appreciate it..

Sriram_Sub:

--- Quote from: Michele on May 05, 2014, 02:26:55 PM ---The problem is was the 726.0 from the 8/23/13 resolved and then reappeared on 11/6/13?  Or did the patient still have the 726.0 for the entire time?

--- End quote ---

Hi Michele! That makes sense. But just wanting to know if the provider would need to record on Notes for Service date 10/28/13 that the DX 726.0 was resolved. Does he have to?

Michele:
I would think that the notes should indicate if the patient was complaining that the 726.0 was still bothering them, or if they had a recurrence or exacerbation. 

Navigation

[0] Message Index