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Billing Manual

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Billing Manual BILLING GUIDE for Laboratory Test Requisitions Provided for the clients of P ATHOLOGY ASSOCIATES MEDICAL LABORATORIES P ACL AB NETWORK LABORATORIES T RI-CITIES LABORATORY T REASURE VALLEY LABORATORY A LPHA MEDICAL LABORATORY For more information, please contact your local representative. © 2000 by Pathology Associates Medical Laboratories. (509) 927-6250 • 1-800-433-1583 2 SEPTEMBER 2000 (509) 927-6250 • 1-800-433-1583 Contents SECTION 1 29 Outpatient Diagnostic Coding & Reporting Guidelines 5 Introduction 29 Outpatient Coding Guidelines 5 How Our Billing Expertise Can Help You 32 Customized ICD·9 Requisition Policy 5 The Importance of Diagnosis Codes 33 Customized ICD·9 Requisition Request Form 34 Customized ICD·9 Requisition Sample SECTION 2 7 Client Billing SECTION 7 9 Successful Laboratory Requisitions, Client Billing 43 Medicare Billing 45 Successful Laboratory Requisitions, Medicare Billing SECTION 3 46 Medicare Waivers 11 Insurance Billing 47 Advance Beneficiary Notice 13 Successful Laboratory Requisitions, Insurance Billing 48 Advance Beneficiary Notice Sample 14 Unusual & Important Information on Specific Insurance Carriers 49 Medicare Secondary Payer 16 Requirements of Specific Insurance Companies 50 Medicare Secondary Payer Questions 51 Tests Requiring Proof of Medical Necessity ID Medicare B SECTION 4 52 Tests Requiring Proof of Medical Necessity WA Medicare A1 21 Washington Public Assistance 53 Tests Requiring Proof of Medical Necessity WA Medicare A2 23 Successful Laboratory Requisitions, WA Public Assistance Billing 54 Tests Requiring Proof of Medical Necessity WA Medicare B SECTION 5 SECTION 8 25 Washington Healthy Options 55 LMRPs – Idaho Medicare 27 Successful Laboratory Requisitions, Healthy Option Billing 56 Warranty and Liability Disclaimer 28 Sample Medical Assistance ID (MAID) Card With HIC Number 28 Sample Medical Assistance ID (MAID) Healthy Options Card SECTION 9 29 Healthy Options and Managed Care 71 LMRPs – Washington Medicare A 72 Warranty and Liability Disclaimer SECTION 6 31 Correct Coding SECTION 10 32 Top Ten Most Common Invalid ICD·9 Codes 79 LMRPs – Washington Medicare B 34 ICD·9 Coding Diagnostic Requirements 80 Warranty and Liability Disclaimer 35 ESRD Claims and Diagnoses SEPTEMBER 2000 3 (509) 927-6250 • 1-800-433-1583 4 SEPTEMBER 2000 (509) 927-6250 • 1-800-433-1583 INTRODUCTION Introduction How Our Billing Expertise Can Help You ■ Extensive relationships with payers throughout the region; including most electronic billing systems. ■ ICD·9 coding education available. ■ Periodic test mix summaries illustrating utilization of lab procedures by physicians. ■ Convenient, professional direct billing available for your patients. ■ Reports detailing patient charges including procedure, bill type, and cost. ■ Local, in-state billing staff with convenient toll-free service. The Importance of Diagnosis Codes In today’s regulated health care climate, ICD·9 diagnosis codes are becoming mandatory. When requisitions arrive without an accept- able code or a signed waiver, we might not be reimbursed for our services. Please assist us by providing this required information at the time you order a test, and we’ll all save time and frustration. If you have any questions regarding this issue, please contact your service representative or the laboratory billing department. We are pleased to provide various tools designed to help you. These include staff training, laminated diagnosis code quick-reference cards, waiver forms, waiting room signs, etc. SEPTEMBER 2000 5 INTRODUCTION (509) 927-6250 • 1-800-433-1583 ICD-9 Coding Support. We can provide support for your ICD·9 coding efforts. Assistance in this increasingly vital area includes staff training, laminated diagnosis code quick- reference cards, waiver forms, waiting room signs, and more. We have the Dedicated Billing Professionals. Knowledgeable billing pro- fessionals are always accessible. Beyond the convenience of experience, resources, ready access to assistance, clients have the assurance that comes from decades of experience with payers operating in and technology to help Washington and throughout the Pacific Northwest. Experience Where It Counts. Our billing professionals have both you and your the depth and breadth of experience that makes a difference. In fact, our billing employees average eight years with the de- patients navigate partment. the increasingly Extensive Payer Relationships. We provide support to your patients by billing a wide variety of insurance companies complex billing directly. In an effort to serve our clients even better, we con- tinually monitor patient usage patterns of various carriers and environment. their associated programs, adding to the list of insurers billed on an ongoing basis. Toll-Free Phone Support. Providing service throughout Washington and the Pacific Northwest, members of the labo- ratory billing team are available to you and your patients via our toll-free number. Ethical Billing Standards. As a member of the Sisters of Providence family, PAML is pledged to adhere to the strictest code of billing ethics. 6 SEPTEMBER 2000 (509) 927-6250 • 1-800-433-1583 CLIENT BILLING Client Billing SEPTEMBER 2000 7 CLIENT BILLING (509) 927-6250 • 1-800-433-1583 1 8 SEPTEMBER 2000 (509) 927-6250 • 1-800-433-1583 CLIENT BILLING Client Billing When you would like us to bill directly to your office Successful Laboratory Requisitions, Client Billing Would you like us to bill you (clinician) directly for these services, and not your patients or their insurance? 1. Circle DR/HOSP/CLINIC in the Bill To: section of the requisition. Do not provide patient billing demographics, such as address and billing information. SEPTEMBER 2000 9 CLIENT BILLING (509) 927-6250 • 1-800-433-1583 10 SEPTEMBER 2000 (509) 927-6250 • 1-800-433-1583 INSURANCE BILLING Insurance Billing SEPTEMBER 2000 11 INSURANCE BILLING (509) 927-6250 • 1-800-433-1583 1 7 7 7 2 3 4 8 9 5 10 6 11 12 13 12 SEPTEMBER 2000 (509) 927-6250 • 1-800-433-1583 INSURANCE BILLING Insurance Billing When you would like us to bill the patient or insurance company directly. Successful Laboratory Requisitions, Insurance Billing The following insurance company billing requirements will assist you to accurately complete laboratory requisitions. The objective is to minimize recurring phone calls to our valued clients and ser- vice center employees. Thank you for your attention to detail. When billing insurance companies, the following information is Please provide an ICD-9 Code always required on the laboratory requisition: for every patient encounter. 1. Patient’s full name 2. Patient’s sex 3. Patient’s date of birth 4. Patient phone number 5. Responsible party’s name (if not patient) 6. Responsible party’s full address 7. Date and time of collection and fasting status 8. Whom is to be billed (Circle patient, doctor, Medicare, PA, or other) Additional information may be 9. Patient’s Social Security Number unique to specific insurances. Please review the requirements of 10. Insurance company name the enclosed primary insurance 11. Insurance ID number companies that we bill. 12. Insurance group number 13. Test ordered checked with proper and valid ICD·9 noted beside 14. Attached copy of insurance card, front and back SEPTEMBER 2000 13 INSURANCE BILLING (509) 927-6250 • 1-800-433-1583 Unusual and Important Information on Specific Insurance Carriers Reminder: Patient’s Full Demographics – including SSN, address, date of birth, phone number, guarantor, and complete insurance information and numbers are required for all requests to bill insurance. Please provide an ICD·9 code for each laboratory procedure requested. Washington Public Assistance ■ Provide Healthy Options or private health-care information when HMO column is marked on coupon. ■ Provide Medicare information when HIC is marked on coupon. ■ Always provide copy of patient insurance cards and DSHS coupon. Regence and other Blue Shields ■ Diagnosis code(s) are required. ■ Claims cannot be submitted to the insurer without a code. ■ Include 3-letter alpha prefix on insurance numbers. ■ Provide group number and county name (e.g., Whatcom). First Choice Network and N.E.I.C. Clearinghouse ■ Provide insurance number, group number and insurance company name. ■ Provide front and back copies of insurance card. Medicare ■ Diagnosis code(s) are critical. ■ Provide patient’s complete Medicare number. ■ Obtain a waiver if the test may be denied as medically unnecessary. 14 SEPTEMBER 2000 (509) 927-6250 • 1-800-433-1583 INSURANCE BILLING Labor & Industries ■ We bill state and self-funded plans. ■ Provide SSN, claim number, date of injury, nature of injury, and employer at time of injury. Group Health Cooperative ■ Diagnosis code(s) are required. ■ Provide patient’s Medical Record Number. ■ Provide patient’s Social Security Number. Premera (Blue Cross and MSC) Physicians Health Network (PHN) NW Physicians Network (NPN) Pro Health Alliance (PHA) Prime Net Pierce Unicare Lewis County MSO Managed Care Specialist Referrals Private Health Care Systems (PHCS) ■ Please ALWAYS indicate when a patient is covered under one of the above provider networks. Provide the name of the network as indi- cated above, patient insurance number and group number, and the name of the insurance company or administrator (e.g., Blue Cross). ■ Provide copy of insurance card, front and back. SEPTEMBER 2000 15 INSURANCE BILLING (509) 927-6250 • 1-800-433-1583 Requirements of Specific Insurance Companies ✔ A Third Party Administrator ✔ Blue Cross Basic Health ✔ Acordia
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