Medical Billing Forum
Billing => Facility Billing => : Sbauman@changestreatmentc February 06, 2015, 02:00:39 PM
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Carriers are paying these grouped on UBO4 for our facility. The rev code for Initial evaluations was 900, now that rev code is rejecting. :'(
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I am writing you not because I have the answer to your question but because I am having issues of my own regarding PHP claims. I cannot seem to get them right. I am trying to figure out what the difference is between PHP and IOP claims? Are you using modifiers with your HCPCS code? I keep getting mine kicked back and denied for lack of information between boxes 42-49. Not sure where the problem is. If you know any information about this it would be very much appreciated. Thank you!!
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IOP - Intensive Outpatient
PHP - Partial hospitalization
If these are getting kicked out at the clearinghouse level I would start by contacting them. Ask for a specific denial. They really should be able to provide more information.