Long-Term Care

Don't overlook condition codes

Billing Alert for Long-Term Care, November 1, 2008

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A recent CMS transmittal shines the spotlight on an often-overlooked UB-04 coding element: the condition code (CC). Many billers don’t realize the purpose ofusing CCs at form locators (FL) 18–28 on Part A claims, says Missy Tieken, director of billing services at Consolidated Billing Services, Inc., in Spokane, WA.

“People call me all of the time asking, ‘Why is this claim hanging up?’ Often, the problem is a missing condition code,” Tieken says.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Billing Alert for Long-Term Care.

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