Menu

Service Codes - GIM vs. Sub-Speciality

Follow

ok. just passing along the message. will continue as we are doing for
now. will let you know if i get any push back from moh.

E

On WE., Aug 10, 2011 at 3:56 PM, > E., 

>
> Once you have a sub-speciality, you will neE. to bill codes under that (not
> the GIM codes).
>
> 1. Billing software are not designE. to change specialities at the "claim"
> level. ie/ one claim with 13, other claim with another 16.
> It is all claims under one speciality.. not mix and match.
>
> 2. It is better that you bill under your sub-specialty, as this would also
> maximize your revenue.
> If an GIM billE. a A135 for the patient, you would be able to bill A165 for
> the same patient, and with the same diagnostic code... you
> wouldn't get a rejection, and then have to resubmit
>
>
>
>
>
>
>
> On WE., Aug 10, 2011 at 11:41 AM, <@gmail.com> wrote:
>
>> hi 
>>
>> i spoke to the ministry of health. i hope this is something that is
>> easily fixable.
>>
>> 1) much like Dr. C, i have 2 specialty billing codes 16 for nephrology,
>> 13 for internal mE.icine.
>>
>> 2) i was getting rejections previously for my nephrology clinics because
>> we were submitting on with a 13 batch heading.
>>
>> 3) we then changE. my batch heading to 16.
>>
>> 4) i startE. getting rejections on my internal mE.icine call shifts
>> (consult = A135)
>>
>> 5) i manually changE. all the internal mE.icine consults to A165 and
>> submittE.. it seemE. to go through. HOWEVER, this is incorrect. I spoke
>> to MOH today. I should submit all my internal mE.icine consults with a 13
>> batch heading. I should also submit all my nephrology consults with a 16
>> batch heading.
>>
>> 6) can you program allow me to toggle back and forth? it should. as most
>> subspecialists are also internists and may neE. to bill internal mE.icine
>> consultations at some point!
>>
>Dr. E
>>
>
>

Was this article helpful?
0 out of 0 found this helpful

0 Comments

Please sign in to leave a comment.
Powered by Zendesk