Author Topic: S9083 Global Fee for Urgent Cares  (Read 2614 times)

jdorn

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S9083 Global Fee for Urgent Cares
« on: May 19, 2014, 05:07:03 PM »
Until our contract runs out we unfortunately have a global fee (set rate pd regardless of the charges) so for this particular insurance carrier we have to bill the S9083 - the problem I'm having now is I have a couple accounts with the global fee carrier as primary and then a regular Medicare, Medicaid, other commercial insurances as secondary.  How do we bill these?

I was originally just coding as normal and sending to the primary (it would be denied b/c we didn't bill the global fee code but after I would call they would have the claim reprocessed) that was working but now our rep from that company stated we can no longer bill regular codes and then adjust we have to bill the global fee or no payment will be issued.  So now I'm stuck with what to do with those accounts that have a secondary... any suggestions?

Michele

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Re: S9083 Global Fee for Urgent Cares
« Reply #1 on: May 19, 2014, 10:08:28 PM »
The secondary must be billed the same as the primary so if you are billing the primary the S9083 the secondary will have to be billed the same.  I understand the dilemma but I don't see any alternative.   :(
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Re: S9083 Global Fee for Urgent Cares
« Reply #1 on: May 19, 2014, 10:08:28 PM »