Julie, The "interest" is already handled by the standard 835 under HIPAA. The dummy code should never happen because you should not be accepting electronic claims that do not have the CPT/HCPCS code in them, much less paying them.
I hope this helps. Kepa > [EMAIL PROTECTED] wrote: > > We had a question regarding CPT-4 coding: As a health plan, we > currently use a couple of 'homegrown" codes in our remittances for > some specific business situations. We were wondering if there is a > national coding solution in the works for these two situations: > > * In the first instance, we use a homegrown code in the remittances > to indicate an interest payment, (such as when we have exceeded > timely payment deadlines and owe the provider interest on the > claim.) > * In the second instance, we use a homegrown code that is a dummy > code. We use this dummy code on our remittances when the > provider has submitted a paper claim that had either no code or > an invalid code on a particular service line. > > Does anyone else have a plan for how they will code their remittances > in these situations? Is there someone working on a national standard > coding solution for these issues? > > Julie Fulcher > HIPAA Project Manager > Presbyterian Healthcare Services > Albuquerque, New Mexico 87125-6666 > (505) 923-6397 > [EMAIL PROTECTED] > > *** PRESBYTERIAN HEALTHCARE SERVICES DISCLAIMER *** > This message originates from Presbyterian Healthcare Services or one > of its affiliated organizations. It contains information, which may > be confidential or privileged, and is intended only for the individual > or entity named above. It is prohibited for anyone else to disclose, > copy, distribute or use the contents of this message. All personal > messages express views solely of the sender, which are not to be > attributed to Presbyterian Healthcare Services or any of its > affiliated organizations, and may not be distributed without this > disclaimer. If you received this message in error, please notify us > immediately at [EMAIL PROTECTED] > > ********************************************************************** > > To be removed from this list, send a message to: > [EMAIL PROTECTED] > Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
