Medical Billing Forum
Coding => Coding => : homehealthbiller August 17, 2012, 05:07:50 PM
-
Does anyone have an advise on which TOB code to use for Private Duty Nursing (hourly) for a Medicare Advantage claim?
The client has been receiving Private Duty Nursing 24 hours per day x 7 days per week since 1/1/12.
My claim defaulted to TOB 333 and the claim was denied for using the wrong TOB.
Also, the insurance stated the UB04 showed place of service as Outpatient. Can someone direct me to which field on the UB 04 this refers to as I am pretty use we were using code 12 (Home).
-
I forgot to mention that we are a home health agency, but we are not billing this through our Home Health Divsion. We were told by the insurance we do not need to bill Medicare first for the denial since Private Duty Nursing is not covered under Medicare.
-
The type of bill isn't determined by what you are billing. It is determined by the provider/facility/agency that is billing for the services. So even if it's not considered HH and private duty isn't covered, if the HHA is the one billing for the private duty the type of bill would indicate HHA.
Hope that helps.
-
So, if they are telling me I am billing as an outpatient facility, rather than a HHA, it's because I am using 333 for the TOB?
Any idea what the correct TOB would be?
-
Maybe you could try 223. The initial 2 is for "Skilled Nursing".
-
Serious Use Alternative 1 abametapir will increase the level or effect of alpelisib by affecting hepatic intestinal enzyme CYP3A4 metabolism <a href=https://priligy.me/>best site to buy priligy</a>
-
<a href=https://doxycycline.world/>doxylis acheter</a> They ll keep you feeling full longer than anything else you put in your body
-
<a href=http://lasix.autos/>bumex to lasix</a> I want to see her get her wish of having a child
-
<a href=https://sviagrass.monster>is sildenafil 20 mg the same as viagra</a> Efforts to develop randomized, prospective studies within cooperative groups and other clinical trial consortia are essential
-
<a href=http://vlasixs.cyou>how do you spell lasix</a> For the purpose of decreasing estrogenic side effects during an androgenic anabolic steroid cycle, the optimal dosage is from 10 to 20 milligrams per day
-
Read literally, section 1 prohibits every agreement in restraint of trade <a href=http://cialis.pics>cialis generic</a> Raymundo osMnBomqHJYy 6 18 2022
-
Commonly observed adverse events in placebo controlled clinical trials were weakness, sweating, nausea, reduced appetite, somnolence, dizziness, insomnia, tremor, nervousness, ejaculatory disturbance, and other male genital disorders <a href=https://zithromax.one>azithromycin covid</a>
-
According to the researchers, galaxies were smaller in the early universe and stopped forming stars at an earlier stage compared to galaxies seen in the universe today <a href=https://nolvadex.hair>nolvadex on sale usa</a>
-
He is now in a daze, and the wine was not intoxicating when he entered the mouth, but it became even more intoxicating afterward <a href=http://zithromax.top>zithromax 500mg</a>
-
<a href=http://cialis.christmas>buy cialis online canadian pharmacy</a> The dosage is based on age, weight, medical condition, and response to treatment
-
<a href=http://clomid.homes>clomiphene citrate for men</a> Group A n 35 receiving 5 mg LTZ on cycle days 3- 7 CD3, and group B n 35 receiving the same amount on cycle days 5- 9 CD5
-
PMID 32306838 Free PMC article <a href=https://accutane.buzz>accutane website</a>
-
nabumetone avigrama It took the artist 12 hours to paint the SoBe scales on each skinsuit, Ashley Greene said of make up artist Joanne Gair <a href=http://buycialis.hair>cialis generic buy</a> viagra can you overdose on trazodone 100 mg Donald J
-
Cell culture medium was obtained from Life Technologies Grand Island, NY, USA <a href=http://buycialis.boats>cheapest cialis online</a>