We have been receiving denials from Medicare when our case spans over two days. Our Compliance department forwarded the following slide from a presentation by Noridian. Our anesthesia start and stop times (and dates) are on the CMS 1500. How would we report it according to their example?
Anesthesia Billing Guidelines
•When billing, do NOT use date spans
–Claim denies unprocessableMA130
•Reflect start date
–Services start prior to midnight into next day
•Example:
–Services start 11:25 pm July 30
–End at 1:10 am July 31
–Bill DOS 7/31 for 105 minutes
August 2012
NAS, LLC Proprietary
Anesthesia Billing Guidelines
•When billing, do NOT use date spans
–Claim denies unprocessableMA130
•Reflect start date
–Services start prior to midnight into next day
•Example:
–Services start 11:25 pm July 30
–End at 1:10 am July 31
–Bill DOS 7/31 for 105 minutes
August 2012
NAS, LLC Proprietary