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CAPC Palliative Care Discussion Forum
Billing and Finance

Next Reply: Re:Billing for Asst. Living
Previous Message: S codes
Next Message: Billing for Pt in a ALF

Post Billing for Asst. Living
Author: LisaLeah
Date: May 23, 2011 10:59 am
I have been having some difficulty with claims in which the patient is in an assisted living facility 99324-99328, 99334-99337. I use a POS code of 13. Edit reason codes indicate a problem with the POS code and/or Facility ID. The ALFs tell me they do not have an NPI number and Medicare says to enter their license number instead of the NPI. Still having trouble though. Has anyone experienced this problem too?

Wondering if I use a POS of 14 perhaps for a "group home?" The state's division of health licensing has the ALFs categorized as a "Community Residental Care Facility."

Thank you for your help!
Replies: order by [Date] [Author] [Subject]
+ Re:Billing for Asst. Living (by JulieP on 05/25/2011)
The location code is correct (13), the CPT codes are correct. Who doesn't have the NPI, your providers or the facility the patients are at?
Julie Pipke-CPC, CAPC Consultant

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