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Maryland Medicaid Companion Guide837 Institutional EncounterMARYLAND DEPARTMENT OF HEALTH MEDICAL CARE PROGRAM COMPANION GUIDE FOR 837 HEALTH CARE CLAIM INSTITUTIONAL ENCOUNTERS VERSION 005010×223A2May
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How to fill out 837 institutional encounter
How to fill out 837 institutional encounter
01
To fill out an 837 institutional encounter, follow these steps:
02
Gather all necessary information about the patient, including their demographics, insurance details, and medical history.
03
Identify the type of institutional encounter (e.g., inpatient, outpatient, emergency).
04
Collect the encounter date and time, as well as the facility or provider details.
05
Document the reason for the visit or admission, including the primary diagnosis and any relevant secondary diagnoses.
06
Record the procedures performed or services rendered during the encounter.
07
Capture the provider's notes and any additional details regarding the patient's condition or treatment.
08
Ensure accurate coding of all services, diagnoses, and procedures using appropriate code sets (e.g., ICD-10, CPT, HCPCS).
09
Verify that all required fields are completed and any supporting documentation is attached.
10
Submit the completed 837 institutional encounter electronically or in paper format, as required by the payer or organization.
11
Review the submitted encounter for any errors or discrepancies and follow up as necessary.
12
Keep a copy of the completed encounter for record-keeping and future reference.
Who needs 837 institutional encounter?
01
837 institutional encounters are required by healthcare providers or facilities that offer institutional services, such as hospitals, nursing homes, rehabilitation centers, and psychiatric facilities.
02
Insurance companies and government payers also require 837 institutional encounters to process claims and reimburse the providers for the services rendered.
03
Healthcare clearinghouses and billing companies use 837 institutional encounters to facilitate the electronic exchange of healthcare claims and billing information.
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What is 837 institutional encounter?
837 institutional encounter is an electronic transaction used in healthcare to submit institutional claims for reimbursement by insurance companies.
Who is required to file 837 institutional encounter?
Healthcare providers such as hospitals, nursing facilities, and other institutional healthcare providers are required to file 837 institutional encounter.
How to fill out 837 institutional encounter?
To fill out 837 institutional encounter, healthcare providers must input patient information, diagnosis codes, procedure codes, and other relevant billing information.
What is the purpose of 837 institutional encounter?
The purpose of 837 institutional encounter is to request reimbursement from insurance companies for services provided to patients by institutional healthcare providers.
What information must be reported on 837 institutional encounter?
Information such as patient demographics, diagnosis codes, procedure codes, service dates, and billing codes must be reported on 837 institutional encounter.
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