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Hospital Billing 2nd Edition by Susan Magovern,Jean Jurek
Edition 2ISBN: 978-0073520896Hospital Billing 2nd Edition by Susan Magovern,Jean Jurek
Edition 2ISBN: 978-0073520896 Exercise 8
Report the appropriate condition code, occurrence code, occurrence span code, and/or value code requested for the billing situation described.Remember to use the correct format for each type of code.
a.On April 8, 2007, the QIO notified the patient of the hospital's intention to bill for accommodations starting on April 10, based on the determination that the patient no longer required a covered level of inpatient care. The patient remained in the hospital as an inpatient until April 13 at a rate of $800 per day. Record the appropriate occurrence code, occurrence span code, and value code indicating the patient's liability for the continued stay.UB-04 Form-FLs 10-41
b.A patient is admitted to a PPS hospital and is transferred out on the same day. Report the required condition code and value code to indicate covered or noncovered care.UB-04 Form-FLs 10-41
c.A patient was hospitalized after a work-related accident on June 9, 2010, at 3:30 P.M. The payment from a workers' compensation plan has been substantially delayed due to lengthy arbitration, and a Medicare Conditional Payment request is being made. Report the required MSP value code and amount as well as the required codes to indicate the date and hour of the accident.UB-04 Form-FLs 10-41
a.On April 8, 2007, the QIO notified the patient of the hospital's intention to bill for accommodations starting on April 10, based on the determination that the patient no longer required a covered level of inpatient care. The patient remained in the hospital as an inpatient until April 13 at a rate of $800 per day. Record the appropriate occurrence code, occurrence span code, and value code indicating the patient's liability for the continued stay.UB-04 Form-FLs 10-41
b.A patient is admitted to a PPS hospital and is transferred out on the same day. Report the required condition code and value code to indicate covered or noncovered care.UB-04 Form-FLs 10-41
c.A patient was hospitalized after a work-related accident on June 9, 2010, at 3:30 P.M. The payment from a workers' compensation plan has been substantially delayed due to lengthy arbitration, and a Medicare Conditional Payment request is being made. Report the required MSP value code and amount as well as the required codes to indicate the date and hour of the accident.UB-04 Form-FLs 10-41
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Hospital Billing 2nd Edition by Susan Magovern,Jean Jurek
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