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Hospital Billing Guidelines

Office of PolicyHospital Billing Guidelines Applies to dates of discharge and dates of service on or after September 1, 2021 Revised 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 .. 13 Multiple Transfers between Acute Care and Medicare Distinct Part Psychiatric Units .. 14 Transfers between Acute and Distinct Part Rehabilitation Units .. 15 Interim Billing Instructions ..15 Adjustments to Paid Claims ..16 Denied/Problem Claims.

Sep 01, 2021 · • Condition Code 7 was added to the list of condition codes that may affect claims reimbursement. (Refer to Appendix E) • The list of covered and non- covered revenue center codes (RCC) have been updated for inpatient, outpatient & outpatient behavioral health claims. (Refer to Appendix I)

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Modifiers Recognized by Ohio Medicaid

medicaid.ohio.gov

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medicaid.ohio.gov

Nov 15, 2020 · o Communication with a patient through secure electronic mail or a secure patient portal - For services rendered by behavioral he alth providers as defined in rule 5160 -27-01 of the Administrative Code, telehealth is further defined in rule 5122 -29-31 of the Administrative Code.

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medicaid.ohio.gov

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medicaid.ohio.gov

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medicaid.ohio.gov

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After the death of the Medicaid individual’s surviving spouse. When the deceased Medicaid individual has no surviving child younger than age 21. When the deceased Medicaid individual has no surviving child of any age who is considered …

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