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

DME Billing and Medicare

CPS, C-EMR, PM

Last Post by Anonymous 1 second ago

2 Posts

2 Users

0 Reactions

59 Views

RSS

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

Topic starter

We have recently converted to CPS and I would appreciate anyone's wisdom on a Medicare DME billing issue. With our prior incantation (NextGen->GatewayEDI) we've been successfully billing and being reimbursed for Splints without any issues for many, many years. After our recent conversion to Centricity we've been unable to make our way through to a payment.

The problem rests with what must be entered in box 32 when you specificy the service location as 12 (Home). We have always left box 32 empty and been paid just fine. Noridian - Jurisdiction D told me this morning that they are happy with either box 32 being blank or our office address(location where we provided the splint.)

Unfortunately, this is counter to what is being implemented in Centricity which has a plug-in for 5010 edits which requires that the patients address (including 9-digit zip)be entered into box 32 if location 12 is specified. We've never collected patient 9-digit zips, nor been asked to in the past, heck I don't even know my own.

I'd be interested in what other's are doing. Are you indeed billing with patient address & 9-digit zips? Is there an easy way to retrieve 9-digit zips from addresses?

Any guidance would be appreciated! Regards, Mike

Posted : February 4, 2014 5:03 am

angelahunsberger

(@angelahunsberger)

Posts: 290

Reputable Member

maibindert said:

We have recently converted to CPS and I would appreciate anyone's wisdom on a Medicare DME billing issue. With our prior incantation (NextGen->GatewayEDI) we've been successfully billing and being reimbursed for Splints without any issues for many, many years. After our recent conversion to Centricity we've been unable to make our way through to a payment.

The problem rests with what must be entered in box 32 when you specificy the service location as 12 (Home). We have always left box 32 empty and been paid just fine. Noridian - Jurisdiction D told me this morning that they are happy with either box 32 being blank or our office address(location where we provided the splint.)

Unfortunately, this is counter to what is being implemented in Centricity which has a plug-in for 5010 edits which requires that the patients address (including 9-digit zip)be entered into box 32 if location 12 is specified. We've never collected patient 9-digit zips, nor been asked to in the past, heck I don't even know my own.

I'd be interested in what other's are doing. Are you indeed billing with patient address & 9-digit zips? Is there an easy way to retrieve 9-digit zips from addresses?

Any guidance would be appreciated! Regards, Mike

Hi Mike, I'd like to try and help you through this. Email me and we can setup a time to look at this together. [email protected]

Posted : February 5, 2014 12:43 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