EDI HIPAA UB-04 Claims Procedures (Security Health Plan) EDI HIPAA UB-04 Claims processing procedures: EDI HIPAA UB-04 Claims completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 76. Attending physician ID – The name and/NPI of the licensed physician who normally would be expected to certify and … Read More →
EDI Medical UB-04 Claims Procedures (Security Health Plan) EDI Medical UB-04 Claims processing procedures: EDI Medical UB-04 Claims completion for inpatient and outpatient services billed by hospitals, skilled nursing facilities, home health agencies and other institutional providers (Continuation). 66. Diagnosis code qualifier – This reflects which ICD-9 edition used – Not required. 67. Principal diagnosis code – The … Read More →
ICD-10 CM/PCS Procedure Basics And KPI Assesment ICD-10 CM/PCS (International Classification of Diseases, 10th Edition, Clinical Modification/ Procedure Coding System) consists of two parts: ICD-10-CM (diagnosis coding) was developed by the Centers for Disease Control and Prevention for use in all U.S. health care settings. Diagnosis coding under ICD-10-CM uses 3 to 7 digits instead of the 3 … Read More →
ICD-10 Transition Basics for Small and Rural Practices ICD-10 Transition deadline was on October 1, 2015 – the health care industry transited from ICD-9 to ICD-10 codes for diagnoses and inpatient procedures. ICD-10 Transition means everyone covered by HIPAA must use ICD-10 codes for health care services provided on or after October 1, 2015. Below … Read More →