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The following fields auto-populate based on the information entered in the Subscriber ID and Birth Date fields: Subscriber First Name. Coordination of Benefits (COB). Enter the unit(s) or manner in which a measurement has been taken. Select one of the follwoing: Other Payer Na me. To (End) date not required as must be the same as the From (start) date of this line. The name of the Billing Provider: This could be an Organization, business or the Name of an individual provider identified by the NPI used to lo gin to MN– ITS. Payer Responsibility. The last name of the subscriber. C laim Adjustment Group Code. Situational (Continued) Claim Information. When using a consolidated NPI, a table will display showing the locations and taxonomy code(s) information on file with MHCP. Enter the name of the Medicare or Medicare Advantage Plan. This is available on the recipient's eligibility response). Taxonomy code for occupational therapy assistant. Use the Home Care Service Billing Codes in the chart below to determine the revenue code used for MHCP home care services.

Pediatric Occupational Therapy Taxonomy Code

Copy, Replace or Void the Claim. Home Care Servies Billing Codes. Taxonomy code occupational therapy. This is the code indicating whether the provider accepts payment from MHCP. Enter the claim number reported on the Medicare EOMB. This is the determination of whether the provider has a signed statement by the recipient on file, authorizing the release of medical data to other organizations. Enter a unique identifier assigned by you, to help identify the claim for this recipient. Attachment Control Number.

Taxonomy Code For Therapy

Enter the date associated with the Occurrence Code. Other Providers- Select the Other Providers accordion panel when required to report other provider information on the service line, if different than what was reported at the claim level. Select the radio button next to the location where the service(s) was provided. From the dropdown menu options, select the appropriate code indicating the disposition or discharge status of the recipient on the date entered in the statement Date (To) field. Claim Filing Indicator. Principal Diagnosis Code. Use the Washington Publishing Company (WPC) health care codes lists to identify the claim status category and claim status codes displayed on the validate and submit claim response. Skilled Nurse Visit Telehomecare. When reporting TPL at the claim (header level), enter the non-covered charge amount. Pediatric occupational therapy taxonomy code. This is the determination of the policy holder or person authorized to act on their behalf, to give MHCP permission to pay the provider directly.

List Of Cpt Codes For Occupational Therapy

From the dropdown menu options select the identifier of other payer entered on the COB screen. Enter the policy holder's identification number as assigned by the payer. Respiratory Therapy Visit Extended. Line Item Charge Amount.

Occupational Medicine Taxonomy Code

Enter the name of the TPL insurance payer. Enter the quantity of units, time, days, visits, services or treatments for the service. Enter the number of units identified as being paid from the other payer's EOB/EOMB. Enter the appropriate revenue code used to specify the service line item detail for a health care institution. Release of Information. Enter the service end date or last date of services that will be entered on this claim. Home Health Aide Visit Extended (waivers). Enter the code identifying the reason the adjustment was made. Enter the total dollar amount the other payer paid for this service line. When appropriate, enter the service authorization (SA) number. If different than the provider reported on the claim information screen: Select one of the following screen action buttons: Note: You must always select Save/View Lines(s) after entering all lines to see the validate and submit action buttons.

Taxonomy Code Occupational Therapy

Other Payers Claim Control Number. Other Providers (Claim Level) – Select the Other Providers accordion screen when required to report other provider information. An authorization number is required when an authorization is already in the system for the recipient. Benefits Assignment. Once the claim filing indicator is selected, additional fields will display for reporting TPL/private insurance. Select Submit to identify if the claim will be paid, denied, or suspended for review at the claim and service line level of the claim. Home Care (Non-PCA) Services. Regular Private Duty RN. Select one of the following: Subscriber. Skilled Nurse Visit (LPN). Enter the NPI listed on the Explanation of Medicare Benefits (EOMB) used to submit the claim to Medicare. Use only when submitting a claim with an attachment. When reporting TPL adjustments at the claim (header level), enter the prior payer paid amount.

Taxonomy Code For Occupational Therapy Assistant

For header (claim) level adjustment, select the code identifying the general category of the payment adjustment for this line from the dropdown menu options. Adjustment Reason Code. Claim Action Button. Enter the total dollar amount of the specific adjustment for the reason code entered on this service line. The patient control number will be reported on your remittance advice. Pro cedure Code Modifier(s). Use only when a modifier is listed on the service authorization (SA) or when a claim for private duty nursing shared services. The second address line reported on the provider file. Select the appropriate response from the dropdown menu options, to identify the priority of the admission/visit. To delete, select Delete. The zip code for the address in address fields 1 and 2. Speech Therapy Visit.

Enter the total charge for the service. For new or current patients enter "1"). Submitting an 837I Outpatient Claim. For Medicare this would be the Medicare health insurance claim number (HICN) or the Medicare beneficiary identifier (MBI) number. Diagnosis Type Code. Prior Authorization Number. Statement Date (To). An authorization number is not required if there is no authorization in the system and the service is a skilled nurse visit. Situational Claim Information - Select the situational claim information accordion screen to report situational information when required. Enter the date the item or service was provided, dispensed or delivered to the recipient. Home Health Aide Visit. Non-Covered Charge Amount. The first 9 skilled nurse visits in a calendar year do not require an authorization unless the recipient has a current waiver service authorization SA)]. Service Line Paid Amount.

From the dropdown menu options, select the code identifying type of insurance. Private Duty Nursing RN. Section Action Buttons. From the dropdown menu options, select the code identifying the insurance carrier's level of responsibility for payment. G0154 (through 12/31/15).

This must be the date the determination was made with the other payer. Select the appropriate source code from the dropdown menu options, indicating the point of location/origin for this admission or visit. Assignment/ Plan Participation. The middle initial of the subscriber. This code must match the HCPCS code entered on your service authorization (SA).

Adjudication - Payment Date. From the drop down menu, select whether the diagnosis code reported on this claim is in the ICD-9 or ICD-10 classification. Enter the total adjusted dollar amount for this line. From the dropdown menu options, select the relationship of the MHCP subscriber (recipient) to the policy holder. Enter the HCPCS code identifying the product or service.