Pediatric Occupational Therapy Taxonomy Code

Statement Date (To). The zip code for the address in address fields 1 and 2. The last name of the subscriber. Situational Claim Information - Select the situational claim information accordion screen to report situational information when required. Use only when submitting a claim with an attachment. Enter the name of the TPL insurance payer.

• Taxonomy code for occupational therapy association
• Taxonomy code for therapy
• Code for occupational therapy
• Taxonomy for occupational medicine

Taxonomy Code For Occupational Therapy Association

Enter the appropriate revenue code used to specify the service line item detail for a health care institution. Home Health Aide Visit Extended (waivers). G0154 (through 12/31/15). Enter the service end date or last date of services that will be entered on this claim. Other Payer – Use this accordion screen when reporting COB at the line level for either (Medicare Part B and/or TPL). Other Payer Primary Identifier. Taxonomy code for therapy. Adjudication - Payment Date. Once the claim filing indicator is selected, additional fields will display for reporting TPL/private insurance. From the drop down menu, select whether the diagnosis code reported on this claim is in the ICD-9 or ICD-10 classification. Other Providers (Claim Level) – Select the Other Providers accordion screen when required to report other provider information. When using a consolidated NPI, a table will display showing the locations and taxonomy code(s) information on file with MHCP. Skilled Nurse Visit (LPN).

Enter the quantity of units, time, days, visits, services or treatments for the service. 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. Taxonomy for occupational medicine. 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)]. Enter the Identifier of the insurance carrier. The middle initial of the subscriber. Enter the total charge for the service.

Taxonomy Code For Therapy

For Medicare this would be the Medicare health insurance claim number (HICN) or the Medicare beneficiary identifier (MBI) number. Enter a unique identifier assigned by you, to help identify the claim for this recipient. 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. Respiratory Therapy Visit Extended. Line Item Charge Amount. Select the appropriate response from the dropdown menu options, to identify the priority of the admission/visit. C laim Adjustment Group Code. The second address line reported on the provider file. Enter the NPI listed on the Explanation of Medicare Benefits (EOMB) used to submit the claim to Medicare.

Code For Occupational Therapy

Enter the total dollar amount the other payer paid for this service line. This code must match the HCPCS code entered on your service authorization (SA). Other Payers Claim Control Number. Use only when a modifier is listed on the service authorization (SA) or when a claim for private duty nursing shared services. Service Line Paid Amount. The patient control number will be reported on your remittance advice. 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. An authorization number is required when an authorization is already in the system for the recipient. Diagnosis Type Code. When reporting TPL adjustments at the claim (header level), enter the prior payer paid amount.

Home Care (Non-PCA) Services. Enter the 8-digit MHCP ID for the subscriber (recipient) indicated on the MHCP member identification card. Release of Information. 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.

Taxonomy For Occupational Medicine

Enter the date the item or service was provided, dispensed or delivered to the recipient. To delete, select Delete. Date of Service (From). Pro cedure Code Modifier(s). From the dropdown menu options, select the code identifying type of insurance. Situational (Continued) Claim Information. Enter the policy holder's identification number as assigned by the payer. From the dropdown menu options, select the relationship of the MHCP subscriber (recipient) to the policy holder. Enter the code identifying the general category of the payment adjustment for this line. Enter the code identifying the reason the adjustment was made. This is available on the recipient's eligibility response). 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. Skilled Nurse Visit Telehomecare. Dates must be within the statement dates enterd in the Claim Information Screen.

Enter the number of units identified as being paid from the other payer's EOB/EOMB. Outpatient Adjudication Information (MOA). 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. Enter the total adjusted dollar amount for this line. Enter the HCPCS code identifying the product or service. Enter the total dollar amount of the specific adjustment for the reason code entered on this service line. 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. Enter the unit(s) or manner in which a measurement has been taken. Enter the date of payment or denial determination by the Medicare payer for this service 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. Benefits Assignment. Speech Therapy Visit. Principal Diagnosis Code. Copy, Replace or Void the Claim. Physical Therapy Assistant Extended. From the dropdown menu options select the identifier of other payer entered on the COB screen. Select the radio button next to the location where the service(s) was provided. Assignment/ Plan Participation. Claim Filing Indicator. An authorization number is not required if there is no authorization in the system and the service is a skilled nurse visit. Private Duty Nursing RN. Adjustment Reason Code.

Regular Private Duty RN. Payer Responsibility. When appropriate, enter the service authorization (SA) number. From the dropdown menu options, select the code identifying the insurance carrier's level of responsibility for payment.

Select one of the following: Subscriber. Submitting an 837I Outpatient Claim. Enter the date associated with the Occurrence Code. Prior Authorization Number. Enter the name of the Medicare or Medicare Advantage Plan. To (End) date not required as must be the same as the From (start) date of this line. Home Care Servies Billing Codes.