SV5 Question as it relates to the 837P Addenda: If I have a service at the SV1:
Does the SV5 identify the associated DME if applicable to the service defined at the SV1? Does it only clarify (provide additional detail) to the DME service defined at the SV1? Do I need to sum the dollars at both the SV1 and SV5 to determine total line item charge amount? Does the SV5 really become an additional service line to the claim? Just some questions - any clarification would be greatly appreciated. -----Original Message----- From: Zena Jacobi [mailto:[EMAIL PROTECTED] Sent: Thursday, February 06, 2003 11:42 AM To: WEDI SNIP Transactions Workgroup List Cc: WEDI SNIP Transactions Workgroup List Subject: Re: Addenda 837P questions about NDC and DME I'm also interested in how to populate SV5 in the 837P addendum. We're a large DME provider, but so far I'm not aware of any payers who are looking for this segment. In the Draft 837 4050 version, the Situational Note changes to "Required when necessary to report both the rental and purchase price info for DME. This is not used for claims where the provider is reporting only the rental price or only the purchase price" Currently we only provide the rental or purchase price, so I'm thinking we won't need to populate the segment until a payer wants both. Are there any payers out there who are expecting this segment to be populated? "Snyder, Caterina" <[EMAIL PROTECTED] To: "WEDI SNIP Transactions Workgroup List" thcare.com> <[EMAIL PROTECTED]> cc: 02/04/2003 05:07 PM Subject: Addenda 837P questions about NDC and DME Please respond to "Snyder, Caterina" Our organization is in review of the Addenda for professional claims (837P) from a technical perspective and are trying to get a better handle on the billing scenarios relating to the below. Any responses from the payer/provider community would be helpful to be able to better understand how this will be implemented industry wide. Questions have been posed to CMS for guidance relating to Medicare Part B implementation on the below; However, they cannot comment or provide guidance at this time since the Addenda has not yet been published in the Federal Register. DME Rental and/or Purchase Amounts: Do these represent the price for the provider or the price that the patient/payer is being billed for the rental/purchase DME? If it is the amount that the patient/payer is being billed, can billing scenarios as to how the purchase price would differ from the amount being billed in SV102 be shared? NDC Drug Unit Price: Does this represent the price for the practice or the price that the patient/payer is being billed? Drug Unit Count: How does this value differ from the units ( Units or International Units) reported in the SV104? Can billing scenarios be shared relating to this element? Thank you in advance for any information members can share. Caterina Snyder Special Projects Misys Healthcare Systems (formerly Medic Computer Systems, LLC.) [EMAIL PROTECTED] * (800) 347-3473 ext. 2856 FAX (208) 247-1139 --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-transactions as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
