Welcome to the NEW CHUG— your ultimate destination for cutting-edge insights and discussions at the intersection of healthcare and technology.

Our platform is dedicated to exploring the dynamic landscape of healthcare technology, empowering professionals, enthusiasts, and innovators alike with the knowledge and resources to navigate the rapidly evolving field.

From telemedicine revolutionizing patient care to the transformative potential of artificial intelligence in diagnostics, we delve into a myriad of topics shaping the future of healthcare delivery. Whether you’re a seasoned healthcare IT professional, an aspiring entrepreneur in the digital health space, or simply curious about the latest innovations, our curated content, expert interviews, and thought-provoking articles provide a comprehensive exploration of healthcare technology’s most pressing issues.

Join us as we navigate the forefront of innovation, driving forward the transformation of healthcare for a healthier, more connected world.

Have questions or suggestions? Please use the contact button below.

Notifications

Clear all

Non-billable ICD-9 Codes

Bugs, Known Issues, Open Cases

Last Post by Anonymous 1 second ago

3 Posts

3 Users

0 Reactions

59 Views

RSS

hadams

(@hadams)

Posts: 10

Active Member

Topic starter

We are having a number of billing claims reject for invalid ICD-9 codes. When I research the codes online it indicates that the code is non-billable. However, when I search the V12.07 reference list the problems/codes are available for a provider to select.

How do I get these codes off of the reference list? Providers are going to assume that because it came up on a search, it is eligible for them to select and bill for.

Our provides are only using the Smart List and Reference List for searching, and this is causing issues with the billing of claims because then a provider needs to re-code their note in order for the bill to be submitted to insurance.

Some code examples: 371.0, 372.0, 716.9

Heather

Posted : February 16, 2015 7:23 am

ljburnham

(@ljburnham)

Posts: 331

Reputable Member

I have been told by GE that we can't change the reference list. We created custom lists that our Providers use. I made sure all the ICD 9's have matching 10's.

Posted : February 16, 2015 8:30 am

lkeith

(@lkeith)

Posts: 457

Honorable Member

So what good is the smart list if you still have to revert back to custom lists? We have an issue with codes that need a 4th or 5th digit to be valid, but they are still showing the 3 or 4 digit codes in the chart as 'valid'. We were told that if we mark that code as Inactive in the PM side, then it would not be prompted in the chart. Of course if there is a patient with the 3 or 4 digit code already on their problem list, we would have to go correct it there.

We have done some of that but I haven't heard any feed back as to if it works. Thinking about it now, the codes such as V12.07 may be a valid code, but it may be for hospital billing. Those codes we don't have set up in our PM but they still show in the chart side. That may be all for not ....

Posted : February 17, 2015 11:02 am

Share:

24 Forums
9,940 Topics
39.9 K Posts
0 Online
6,470 Members

Forum Icons: Forum contains no unread posts Forum contains unread posts

Topic Icons: Not Replied Replied Active Hot Sticky Unapproved Solved Private Closed

Powered by wpForo Powered by wpForo version 2.4.0