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Anesthesia Units - Billing More than 99 Units

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Hi,

I am trying to enter a claim for an anesthesia service that has over 100
units (base units + time units). The software automatically change it to 99
units saying that the MOH does not allow more than 99 units. Is that true?
Because as I understand MOH will even take cases over 200 units, just that
they need a photocopy of the record if it's over 200 units.

Please let me know how I can resolve this issue.

Thanks,

------------------------------------- 

P,

For units over 99, you will need to create another claim with the remaining
units. Example claim #1 with 99 units, and claim #2 with 21 units (total
units =120).

Believe it or not... MoH system can only take 2 digits for the quantity.
As such, it needs to be broken into two claims.

Also - you will need to set both claims to "manual review", and as per your
email, you will need to fax your patient notes to MoH

------------------------------------- 

Thanks for the reply. Just to clarify though - I still have to fax in notes to MOH even if the service is less than 200 units? I thought that's the cutoff.

------------------------------------- 

P,

Anything you set under Manual Review requires notes to be faxed. And since qty greater than 99 requires manual review....then you need to send notes. Hope this helps.... 

 

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