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| Minnesota E3 requires Minnesota providers to submit standard, electronic-only billing effective July 15, 2009. MHCP is implementing changes for nursing facility providers that will impact long term care room and board claims with dates of service on and after July 1, 2009, to accommodate E3 standards. You must refer to and follow UB-04 guidelines for the level of care revenue codes. The UB-04 Manual is copyrighted by and available through the NUBC. Due to copyright laws, MHCP cannot supply the descriptions. To ensure appropriate coding, nursing staff may need to inform billing staff of appropriate codes to use for billing. |
| Description
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Revenue code thru 6/30/09
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Revenue code on & after 7/1/09
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Additional notes
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| Report room and board by nursing level of care
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0101
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Use the appropriate level of care (019X) revenue code (see the UB-04 Manual for detailed level of care descriptions)
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| Ancillary services included in per diem
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025X , etc. |
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Report on same claim as nursing level of care
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| Private room
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0101 |
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One unit = one day
Requires prior authorization
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| Leave days
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0183
0185 |
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No change
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| Therapies/other ancillaries not included in per diem
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As appropriate |
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No change; bill separately; following Medicare Part B guidelines
| | MHCP will continue to pay claims based on the individual RUG score and the providers rate file. |
| Batch (X12 837I) billers: Report Medicare payment amount in AMT02 where AMT01=C4 |
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