Taxonomy Code For Occupational Therapy

July 2, 2024, 2:13 pm
When using a consolidated NPI, a table will display showing the locations and taxonomy code(s) information on file with MHCP. Use only when a modifier is listed on the service authorization (SA) or when a claim for private duty nursing shared services. Outpatient Adjudication Information (MOA). Enter a unique identifier assigned by you, to help identify the claim for this recipient. When appropriate, enter the service authorization (SA) number. Date of Service (From). Statement Date (To). Assignment/ Plan Participation. Situational (Continued) Claim Information. For Medicare this would be the Medicare health insurance claim number (HICN) or the Medicare beneficiary identifier (MBI) number. Pediatric occupational therapy taxonomy code. From the dropdown menu options, select the relationship of the MHCP subscriber (recipient) to the policy holder. Enter the date of payment or denial determination by the Medicare payer for this service line. Diagnosis Type Code.

Code For Occupational Therapy

Enter the policy holder's identification number as assigned by the payer. The second address line reported on the provider file. Attachment Control Number. The zip code for the address in address fields 1 and 2. From the dropdown menu options, select the appropriate code indicating the disposition or discharge status of the recipient on the date entered in the statement Date (To) field. Taxonomy codes for occupational therapy. Regular Private Duty RN.

Taxonomy Code Occupational Therapy

Enter the name of the Medicare or Medicare Advantage Plan. G0154 (through 12/31/15). Speech Therapy Visit. Enter the service end date or last date of services that will be entered on this claim. Adjudication - Payment Date. Enter the total charge for the service.

Occupational Medicine Taxonomy Code

Select one of the follwoing: Other Payer Na me. When reporting TPL adjustments at the claim (header level), enter the prior payer paid amount. The last name of the subscriber. Pro cedure Code Modifier(s).

Taxonomy Codes For Occupational Therapy

Benefits Assignment. Section Action Buttons. Submitting an 837I Outpatient Claim. Service Line Paid Amount. Physical Therapy Assistant Extended. Enter the 8-digit MHCP ID for the subscriber (recipient) indicated on the MHCP member identification card. An authorization number is required when an authorization is already in the system for the recipient. Adjustment Reason Code. Taxonomy code occupational therapy. Enter the highest level of ICD or other industry accepted code(s) that best describe the condition/reason the recipient needed the service(s). From the dropdown menu options, select the code identifying the insurance carrier's level of responsibility for payment. Situational Claim Information - Select the situational claim information accordion screen to report situational information when required. Enter the quantity of units, time, days, visits, services or treatments for the service. Enter the NPI listed on the Explanation of Medicare Benefits (EOMB) used to submit the claim to Medicare.

Pediatric Occupational Therapy Taxonomy Code

The patient control number will be reported on your remittance advice. This is available on the recipient's eligibility response). For new or current patients enter "1"). Telephone number reported on the provider file. This is the determination of the policy holder or person authorized to act on their behalf, to give MHCP permission to pay the provider directly. Enter the code identifying the reason the adjustment was made. Other Payers Claim Control Number. Enter the appropriate revenue code used to specify the service line item detail for a health care institution. When reporting TPL at the claim (header level), enter the non-covered charge amount. Select Submit to identify if the claim will be paid, denied, or suspended for review at the claim and service line level of the claim. Other Providers (Claim Level) – Select the Other Providers accordion screen when required to report other provider information.

Claim Action Button. This is the code indicating whether the provider accepts payment from MHCP. Use the Washington Publishing Company (WPC) health care codes lists to identify the claim status category and claim status codes displayed on the validate and submit claim response. Enter the claim number reported on the Medicare EOMB. Enter the total dollar amount the other payer paid for this service line. The first 9 skilled nurse visits in a calendar year do not require an authorization unless the recipient has a current waiver service authorization SA)]. Enter the name of the TPL insurance payer.