Clinic referral The patient was admitted upon the recommendation of this facility's clinic physician. Non-Health Care Facility Point of Origin (Physician Referral) Usage note: Includes patients coming from home, a physician's office, or workplace. %%EOF
CMS Disclaimer In addition, Point of Origin for Admission or Visit code '1' example and definition language has been updated, though the processing of code '1' is not being changed. Washington, D.C. 20201 IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE ON THE LINK LABELED "I Do Not Accept" AND EXIT FROM THIS COMPUTER SCREEN. 2023 Noridian Healthcare Solutions, LLC Terms & Privacy. 0000002620 00000 n
If you do not agree to the terms and conditions, you may not access or use the software. Required except for Bill Type 014X, (the bill type is used for non-patient laboratory specimens and the point of origin would not be known). 200 Independence Avenue, S.W. I am a provider and my Remittance Advice (RA) indicates a 935 withholding. The Point of Origin code would be 5 as the original Point of Origin is the skilled nursing facility. Under what circumstances should we submit Condition Code 44? IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. Premature delivery A baby delivered with time and/or weight factors qualifying it for premature status. This field comes from the source Inpatient admission code that is present on the last claim record included in the stay. . xref
Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). 0000147084 00000 n
BY ACCESSING AND USING THIS SYSTEM YOU ARE CONSENTING TO THE MONITORING OF YOUR USE OF THE SYSTEM, AND TO SECURITY ASSESSMENT AND AUDITING ACTIVITIES THAT MAY BE USED FOR LAW ENFORCEMENT OR OTHER LEGALLY PERMISSIBLE PURPOSES. Without remarks on the claim, the claim will be RTPd. , Click on an item to expand or Show All / Close All. What is the appropriate use of Occurrence Code 42? Sick baby A baby delivered with medical complications, other than those relating to premature status.