Hospital Billing Guidelines

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Office of PolicyHospital Billing Guidelines Applies to dates of discharge and dates of service on or after September 1, 2021Revised 7/26/2021 Page 2 of 98 TABLE OF CONTENTS New Changes for 9/1/2021 ........................................ ........................................ ....................... 6 Billing OVERVIEW ........................................ ........................................ .......... 8 Provider Enrollment ........................................ ........................................ ............... 9 UB-04 Instructions for Hospital Providers ........................................ ........................ 9 CASES Billing INSTRUCTIONS ........................................ .................................. 13 Transfer Billing ........................................ ........................................ ....................13 Transfer between Acute Care and Medicare Distinct Part Psychiatric Units.

Sep 01, 2021 · • An update to which bill types are accepted for outpatient services was also provided. (Refer to Section 3.3 ) • Section 3.5.2 referring to managed care carve outs for outpatient behavioral health claims was removed. • An update to edits concerning national drug codes (NDC’s) was added. (Refer to Section 3.6)

  Services, Update, Claim