http://www.cms.hhs.gov/PlaceofServiceCodes/Downloads/placeofservice.pdf
The insurance service organization (ISO) provides a list of fire codes. The protection class codes for Arizona can be found in the insurance service organization handbook.
Gererally speaking, the answer is Yes, after checking to make sure that the claim was billed using the correct diagnosis and codes.
A "dirty" claim is one that would be rejected by an insurance company. Many facilities use a claim "scrubber" to check for medical necessity, correct demographic data, on the codes and modifiers that are being sent to the insurance company.
You submit a claim using HCPCS Level II codes.
HCPCS stands for Healthcare Common Procedure Coding System. This is a given set of codes that are provided to aid the process of claiming health insurance from health insurance programs.
The ICD codes are a standardized medical "language" for naming every known illness and injury. The claim uses the ICD code (saying what was wrong) and codes for procedures and treatments applied. The insurance carrier checks if the treatment seems reasonable and appropriate before determining the amount of payment.
When a patient visits a doctor and has health insurance the receptionists take their information. Then they punch it into the computer and send the bill. The claim in sent to the health care provider and then the doctor is paid. The receptionists must know the codes to show the provider what had taken place at the doctors office.
Health Insurance Portability and Accountability Act of 1996
Insurance codes are used by your health plan to make decisions about how much to pay your doctor and other healthcare providers. Typically, you will see these codes on your Explanation of Benefits and medical bills.
code screening
computer
Not usually; the insurance will require a medical code to process the claim.