Error: PROC CODE W/ MULTI UNITS INVALID/DATE OF SERV
Overview
Some CPT (procedure codes) should always go out with 1 unit. For procedures for which you are not being paid, the duration of the service is not a factor. You are being paid for the service in general.
For example, if this were an evaluation, then by putting 1 unit, you are saying I performed one evaluation, and you are being paid for said evaluation. For an evaluation, if you entered 4 units, you are telling the payer that you performed 4 evaluations.
In Therabill, you can edit the number of units on the Edit Session form. In the article, we will review how to edit the session from the error page.
Error Correction
Editing the session from the error page
- On the right of the error page, you will see the date(s) of service included on the claim that came back in error.
- Click on the date to open up the Edit Session form for that particular session.
- On the bottom left, you will see the CPT codes, number of units, and the charge amount.
- Edit the number of units and then click Save & Done at the bottom of the edit session form.
- Now, back on the error page, click the Resubmit Electronically button at the top to resend those claims with the updated units.
Comments
1 comment
Here is a reference for speech codes: http://www.medicarepaymentandreimbursement.com/2010/07/therapy-cpt-925069250792601-92626-97124.html
If anyone finds any references for other disciplines or if you have any advice to give, please post your comments.
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