|
Greg,
If the modifier was valid on the Date of Service, It can be
reported on the 835. The 835 will be complient.
If the DOS is 16 Oct 2003 or later, the claim should be
rejected before it enters the adjudication system (in the same manner as any
other HIPAA syntax error) using a 997 or 999 or 864 or text rejection
message (invalid value in field)). Since this is a claim-level error, try
to report the error at the claim level.
The opinions expressed here are my own and not necessarily the opinion of
LCMH.
Douglas M. Webb Computer System Engineer Little Company of Mary
Hospital & Health Care Centers [EMAIL PROTECTED]
"This electronic message may contain information that is confidential
and/or legally privileged. It is intended only for the use of the individual(s)
and entity(s) named as recipients in the message. If you are not an
intended recipient of the message, please notify the sender immediately,
delete the material from any computer, do not deliver, distribute, or copy this
message, and do not disclose its contents or take action in reliance on the
information it contains. Thank you."
----- Original Message -----
Sent: Tuesday, September 23, 2003 08:24
AM
Subject: FW: 835
Resubmission:
I did not hear back from anyone so I am resubmitting,
hopeful that someone has some insight about this�Thanks!
Prior to HIPAA, one byte modifiers were
permissible. It was possible to receive a one byte modifier on
paper.
After HIPAA, a one byte modifier is invalid. If
a claim is rejected with a reject message and the one byte modifier is the
reason, can you send an 835 because the modifier is not part of the compliant
code sets adopted by HIPAA? If you return the invalid modifier to the
provider as an 853, the Plan�s 835 is non-compliant. How are others
handling this problem? What about claims processed prior to
10/16/03 with a one byte modifier that need an adjustment after
10/16/03?
Thanks!
Greg
Greg Bard
NASCO
HIPAA Privacy and
Security Manager
(W) 678.441.6059
(F) 678.441.6359
[EMAIL PROTECTED]
---
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
CONFIDENTIALITY NOTICE:
The information in this message (and
the documents attached to it, if any) is confidential and may be legally
privileged. It is intended solely for the addressee. Access to this message by
anyone else is unauthorized. If you are not the intended recipient, any
disclosure, copying, distribution or any action taken, or omitted to be taken
in reliance on it is prohibited and may be unlawful. If you have received this
message in error, please delete all electronic copies of this message (and the
documents attached to it, if any), destroy any hard copies you may have
created and notify me immediately. Thank you. ---
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
|
