Ruth,
Also, there are some items with more than one component. For example,
the surgery billed by the hospital also has a component billed directly
by the surgeon on a 1500 claim. And DME can be billed on a 1500 type
claim even when there is a prescription that needs to be sent as an
"attachment".
It gets rather tricky.
Kepa
"Tucci-Kaufhold, Ruth A." wrote:
>
> Stewart,
> Your question is good and I think that is what we are trying to resolve ...
> keep in mind the X's that I used were "guesses" or what some of my states
> were using. Once we get all the services added to the list we can work on
> what most orgs using to bill on today and then review whether or not the IGs
> are "designed" for that or does the service billing need to be adjusted
> elsewhere.
>
> Ruth Tucci-Kaufhold
> UNISYS Corporation
> 4050 Innslake Drive
> Suite 202
> Glen Allen, VA 23060
> (804) 346-1138
> (804) 935-1647 (fax)
> N246-1138
> [EMAIL PROTECTED]
>
> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
> Sent: Wednesday, August 01, 2001 8:00 AM
> To: [EMAIL PROTECTED]
> Subject: RE: Services to IG White Paper
>
> Ruth and Jan,
> Isn't the real issue with the type of IG to be used, the site of service?
> Ruth's chart is really good but many of the services can be performed in
> several locations. For example: a clinic service can be a free standing
> clinic or a hospital based clinic. Any service that is hospital based and
> contains technical services should be billed on the UB not the 1500. The
> other issue is does the payer have the right to dictate which IG should be
> used for a claim?
>
> Stewart Presser
> Greater New York Hospital Association
>
> -----Original Message-----
> From: Jan Root [mailto:[EMAIL PROTECTED]]
> Sent: Tuesday, July 31, 2001 5:20 PM
> To: Business Issues (E-mail); X12N--837 (E-mail)
> Subject: Re: Services to IG White Paper
>
> Ruth
> Thanks for pulling this together - excellent job. I will poll the payers on
> my network
> to see what they do and will get the results back to the Business SWG soon.
>
> j
>
> "Tucci-Kaufhold, Ruth A." wrote:
>
> > I have been gathering services from the UNISYS states and from the emails
> > that Zon has been sending ... I have collected the services that are
> billed
> > on proprietary forms, HCFA1500, and UB forms. These are discussion items
> > for the members of the WG to write this paper. It's just a "gathering"
> into
> > a spreadsheet for discussion for today's Business Issues meeting.
> >
> > <<Services to IG.xls>>
> >
> > Ruth Tucci-Kaufhold
> > UNISYS Corporation
> > 4050 Innslake Drive
> > Suite 202
> > Glen Allen, VA 23060
> > (804) 346-1138
> > (804) 935-1647 (fax)
> > N246-1138
> > [EMAIL PROTECTED]
> >
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> > ------------------------------------------------------------------------
> > Name: Services to IG.xls
> > Services to IG.xls Type: Microsoft Excel Worksheet
> (application/vnd.ms-excel)
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>
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