Hi,
We are new in Dialysis billing and this fell on my lap because the Agency owner is a family friend who asked for my help. We have a client in TX insured with BCBSTX and is out-of-network because BCBSTX has no network for Dialysis. Our client is a HH agency specializing in RN-assisted hemodialysis in patient homes only and provides the RN, DME, supplies and medications needed. BCBSTX requires that the claims be submitted on a UB04 and not on CMS1500. The previous Biller was billing each treatment 3X a week with G0154 and 90937 plus a list of DME(dialysis machine), supplies used (syringe, bicarb, acid, blood tubing, saline) and medications. Another bill goes out once a month for all re-supplies (masks, gloves, blood test strips, carbon filters, antiseptics, etc).
What is the correct way of billing these? Is there a global way of billing each treatment?
Thank you in advance.
Jocelyn
(310)514-8226
PS - I have Alice & Michelle's book on completing the UB04 and is very helpful.