Transcription of Provider-Based Billing
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Provider-Based Billing
Provider-Based Billing ..It Really Is Rocket Science!Linda J. Corley, MBA, ACPAR, CRCR, CPCVice President Compliance, Quality Assurance, and Associate Development706 2019 Xtend Healthcare, LLC. All rights reserved. All registered trademarks are the property of their respective Pesky Acronyms APC Ambulatory Payment Classification ASC Ambulatory Surgery Center CAH Critical Access Hospital CMHC Certified Mental Health Center CMSC enter for Medicare and Medicaid Services CORF Certified Outpatient Rehabilitation Facility DME Durable Medical Equipment (Supplier) ESRD End Stage Renal Disease FQHC Federally Qualified Health Center HHA Home Health Agency IDTF Independent Diagnostic Treatment Facility OPPS Outpatient Prospective Payment System PBProvider Based or PBC = Provider-Based Clinic RHCR ural Health Clinic SNFS killed Nursing Facility3 2019 Xtend Healthcare, LLC.
Provider Based –“Off-Campus” 2017 Requirements for Off-Campus Dept.’s: •For services furnished on or after 01/01/17, hospitals should bill using the UB-04 institutional claim form with the new “PN” modifier.-This modifier serves as a site of service code to denote the claim should receive the MPFS payment rate –not OPPS.
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