How do you set up your codes for outpatient CD billing?

Jenna 5 years ago in Billing/Electronic Modules updated by Missy 5 years ago 1

I am having an issue of OP CD  sending as an admit to discharge on the UB04. I am not sure what setting to add to avoid this and not have to edit that each time. My understanding is you have to send with an admit date as they are in a specific program. Any advice is much appreciated. '

The only setting I could see that would help this is editing the "outpatient" to "inpatient" under residential so the claims sends with its proper 862/863/864 etc. 


Hello Jenna, 

There is an option in the payer setup that you could used to avoid changing the bill type every time. It can be found in the Payers Module > Payer Rules tab > Outpatient Bill Type. If the payer always wants you to send a specific Bill Type for outpatient claims, you can select it here. If you have any additional questions about this, please send a ticket to Procentive Support.

Thank you,

Missy LeQue