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This document serves as billing instructions for hospital-based inpatient detoxification services provided under the Medical Assistance Administration in Washington State. It includes comprehensive

How to fill out hospital-based inpatient detoxification billing

How to fill out HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions

1. Gather necessary patient information including name, date of birth, and insurance details.
2. Verify the patient's eligibility for inpatient detoxification services with their insurance provider.
3. Complete the admission form, noting the patient's diagnosis and the specifics of the detoxification treatment.
4. Document all medical services provided during the inpatient stay, including medication administered and therapy sessions.
5. Fill out the billing form, ensuring that all required codes (ICD, CPT) for treatments and diagnoses are accurate.
6. Review the billing form for completeness and accuracy before submission.
7. Submit the billing form along with supporting documentation to the appropriate insurance company.
8. Follow up with the insurance provider to confirm receipt of the claim and to address any issues that may arise.

Who needs HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions?

1. Patients undergoing medical detoxification who need insurance reimbursement.
2. Healthcare providers and billing specialists responsible for submitting claims for detoxification services.
3. Administrators in hospitals that offer inpatient detoxification services.

People Also Ask about

Which billing form is used for hospital inpatients?

The UB-04 form, previously called the CMS-1450 form, is the standard claim form used by an institutional healthcare provider to submit inpatient and outpatient medical claims for reimbursement from insurance companies when a provider qualifies for a waiver from the ASCA requirement for electronic submission of claims.

Is 99221 99223 initial hospital inpatient or observation care?

According to CPT, the initial hospital care codes, 99221–99223, are for “the first hospital inpatient encounter with the patient by the admitting physician.” Initial inpatient encounters by other physicians should be reported with either subsequent hospital care codes (99231–99233) or initial inpatient consultation

What form is used for inpatient billing?

The UB-04 claim form is used to submit claims for inpatient hospital accommodations (for example, medical/surgical intensive care, burn care and coronary care) and ancillary charges (for example, labor and delivery, anesthesiology and central services and supplies).

Is bill type 131 inpatient?

The UB-04, also known as CMS-1450, is a paper claim form that facilities can complete and submit by mail, fax, or scan. It is still accepted by many payers but is slower to process as it requires manual handling and corrections. On the other hand, the EDI 837I is the electronic version of the claim.

What are the guiding steps of detoxification treatment?

What to Expect During Detox: A Step-by-Step Guide step 1: Initial Assessment. Upon arrival at the detox center, the first step is a thorough initial assessment. step 2: creating a detox plan. step 3: withdrawal management. step 4: stabilization. step 5: transition to ongoing treatment.

What codes are used for inpatient billing?

Hospital Inpatient and Observation Care Services CPT® Code range 99221- 99239.

What is a UB-04 form used for?

Type of bill 131 indicates the type of facility is a hospital (1), the bill classification is outpatient (3) and the frequency is admit through discharge (1). The span dates are for the date the member was admitted into the emergency room. The hour of admission is entered in form locator 13.

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What is HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions?

HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions provide guidelines on how healthcare providers can bill for inpatient detoxification services provided in a hospital setting, ensuring compliance with relevant regulations and reimbursement policies.

Who is required to file HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions?

Healthcare providers, specifically hospitals or facilities that offer inpatient detoxification services, are required to file HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions to receive appropriate reimbursement from insurance companies or government programs.

How to fill out HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions?

To fill out HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions, providers need to include specific patient information, details about the detoxification treatment provided, applicable diagnosis and procedure codes, as well as any required supporting documentation.

What is the purpose of HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions?

The purpose of HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions is to facilitate accurate billing and ensure that healthcare providers can successfully get reimbursed for detoxification services while adhering to health care policies and insurance requirements.

What information must be reported on HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions?

HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions must report patient identification details, admission and discharge dates, ICD-10 diagnosis codes for substance use disorders, CPT/HCPCS codes for treatments administered, and other relevant clinical documentation.