Get the free 837 Institutional Companion Guide, March 2015 - HCC University

Medicare Encounter Data System Standard Companion Guide Transaction Information Instructions related to the 837 Health Care Claim: Institutional Transaction based on ASC X12 Technical Report Type

How to fill out 837 institutional companion guide

1. To fill out the 837 institutional companion guide, you will need to gather all the necessary information and documentation related to the institutional healthcare services you are billing for.
2. Start by identifying the patient's information, including their name, date of birth, and insurance details. Make sure to double-check the accuracy of this information to avoid any potential errors.
3. Next, you will need to provide the healthcare provider's information, including their name, address, and National Provider Identifier (NPI) number. This information is crucial for accurate billing and identification purposes.
4. Identify the specific services provided to the patient, ensuring that each service has a corresponding Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT) code. This ensures that the services are properly categorized and billed.
5. Include the start and end dates of the services rendered to the patient for accurate billing and record-keeping purposes.
6. Consider any necessary modifiers that may be applicable to the services provided. Modifiers provide additional information about the services rendered, such as the location or the extent of the service provided.
7. Review and verify all the information entered in the 837 institutional companion guide to ensure accuracy and completeness. This step is crucial for avoiding any potential billing errors or discrepancies.
8. Submit the completed 837 institutional companion guide to the appropriate healthcare payer or clearinghouse, following their specific submission guidelines and requirements.
9. Lastly, retain a copy of the filled-out 837 institutional companion guide for your records, as it serves as an essential document for any future reference or auditing purposes.
10. The 837 institutional companion guide is primarily needed by healthcare providers or billing professionals who deal with institutional healthcare services, including hospitals, inpatient facilities, and other healthcare institutions. It provides a standardized format and guidelines for accurately documenting and billing for these services, ensuring proper reimbursement and compliance with industry standards. By following the instructions and requirements outlined in the guide, healthcare providers can streamline the billing process and facilitate efficient reimbursement for the services they provide.

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What is 837 institutional companion guide?

837 institutional companion guide is a set of guidelines and instructions for submitting institutional healthcare claims electronically.

Who is required to file 837 institutional companion guide?

Healthcare providers and institutions that submit claims electronically are required to file 837 institutional companion guide.

How to fill out 837 institutional companion guide?

837 institutional companion guide can be filled out using electronic data interchange (EDI) software that complies with the specified format and guidelines.

What is the purpose of 837 institutional companion guide?

The purpose of 837 institutional companion guide is to standardize the format for submitting healthcare claims electronically and ensure consistency in the information provided.

What information must be reported on 837 institutional companion guide?

837 institutional companion guide requires reporting of patient information, diagnosis codes, procedures performed, healthcare provider details, and billing information.