We are new to billing Rule 31 (COD) claims and billing codes H2035 HQ HH and H2035 HH and some of the payers say they require a revenue code of 905 with those codes. I understand rev codes are billed on institutional claims and we currently only bill professional claims, since we are an outpatient clinic. Our clinic directors say we should not bill Institutional claims, since we are not a facility or a residential treatment center. Procentive has told us that some payers require this but it's hard to wrap our mind around billing a totally different way. We have not worked with the admission field yet and know this is part of institutional claims. Basically, just wondering if anyone else has experience with this? Please help. THank you!
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