Type of Bill Code Flashcards
(34 cards)
The First Digit of the 3 digit Type of Bill code describes the Facility Type. What does a 1 mean in this position?
- Religious nonmedical Health Care Facility
- Hospital
- HH Home Health
- Religious nonmedical Health Care Facility
- Special Facility, Hospital ASC Surgery
- Clinic *Special coding for 2nd Digit below
- SNF
- Religious nonmedical Health Care Facility - EXTENDED CARE
Hospital
The First Digit of the 3 digit Type of Bill code describes the Facility Type. What does a 2 mean in this position?
- Religious nonmedical Health Care Facility
- Hospital
- SNF
- HH Home Health
- Religious nonmedical Health Care Facility
- Special Facility, Hospital ASC Surgery
- Clinic *Special coding for 2nd Digit below
- Religious nonmedical Health Care Facility - EXTENDED CARE
SNF
The First Digit of the 3 digit Type of Bill code describes the Facility Type. What does a 3 mean in this position?
- Religious nonmedical Health Care Facility
- Hospital
- SNF
- HH Home Health
- Religious nonmedical Health Care Facility
- Special Facility, Hospital ASC Surgery
- Clinic *Special coding for 2nd Digit below
- Religious nonmedical Health Care Facility - EXTENDED CARE
Home Health
The First Digit of the 3 digit Type of Bill code describes the Facility Type. What does a 4 mean in this position?
- Religious nonmedical Health Care Facility
- Hospital
- SNF
- HH Home Health
- Religious nonmedical Health Care Facility
- Special Facility, Hospital ASC Surgery
- Clinic *Special coding for 2nd Digit below
- Religious nonmedical Health Care Facility - EXTENDED CARE
Religious nonmedical Health Care Facility
The First Digit of the 3 digit Type of Bill code describes the Facility Type. What does a 7 mean in this position?
- Religious nonmedical Health Care Facility
- Hospital
- SNF
- HH Home Health
- Religious nonmedical Health Care Facility
- Special Facility, Hospital ASC Surgery
- Clinic *Special coding for 2nd Digit below
- Religious nonmedical Health Care Facility - EXTENDED CARE
CLINIC
The First Digit of the 3 digit Type of Bill code describes the Facility Type. What does a 5 mean in this position?
- Religious nonmedical Health Care Facility
- Hospital
- SNF
- HH Home Health
- Religious nonmedical Health Care Facility
- Special Facility, Hospital ASC Surgery
- Clinic *Special coding for 2nd Digit below
- Religious nonmedical Health Care Facility - EXTENDED CARE
Religious Nonmedical HCF EXTENDED CARE
The First Digit of the 3 digit Type of Bill code describes the Facility Type. What does a 8 mean in this position?
- Religious nonmedical Health Care Facility
- Hospital
- SNF
- HH Home Health
- Religious nonmedical Health Care Facility
- Special Facility, Hospital ASC Surgery
- Clinic *Special coding for 2nd Digit below
- Religious nonmedical Health Care Facility - EXTENDED CARE
Special Facility Hospital ASC
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. Except Clinic and Special Facilities What does a 1 mean in this position?
WHEN THE FIRST DIGIT = 1-5
1. Outpatient
2. Inpatient Part A
3. Other (Part B)
4. Swing Bed
5. Intermediate Care Level II
6. Subacute Inpatient -Revenue Code 019X required
7. Inpatient Part B
8. Intermediate Care Level I
Inpatient Part A
Example
11 = Hospital Inpatient Part A
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. Except Clinic and Special Facilities What does a 2 mean in this position?
WHEN THE FIRST DIGIT = 1-5
1. Outpatient
2. Inpatient Part A
3. Other (Part B)
4. Swing Bed
5. Intermediate Care Level II
6. Subacute Inpatient -Revenue Code 019X required
7. Inpatient Part B
8. Intermediate Care Level I
Inpatient Part B
eg - 12 = Hospital, Inpatient Part B
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. Except Clinic and Special Facilities What does a 3 mean in this position?
WHEN THE FIRST DIGIT = 1-5
1. Outpatient
2. Inpatient Part A
3. Other (Part B)
4. Swing Bed
5. Intermediate Care Level II
6. Subacute Inpatient -Revenue Code 019X required
7. Inpatient Part B
8. Intermediate Care Level I
Outpatient
eb 13 = Hospital, Outpatient
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. Except Clinic and Special Facilities What does a 4 mean in this position?
WHEN THE FIRST DIGIT = 1-5
1. Outpatient
2. Inpatient Part A
3. Other (Part B)
4. Swing Bed
5. Intermediate Care Level II
6. Subacute Inpatient -Revenue Code 019X required
7. Inpatient Part B
8. Intermediate Care Level I
Other (Part B)
eg 24 = SNF, Other (Part B)
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. Except Clinic and Special Facilities What does a 5 mean in this position?
WHEN THE FIRST DIGIT = 1-5
1. Outpatient
2. Inpatient Part A
3. Other (Part B)
4. Swing Bed
5. Intermediate Care Level II
6. Subacute Inpatient -Revenue Code 019X required
7. Inpatient Part B
8. Intermediate Care Level I
Intermediate Care Level I
example
Home Health and Intermediate Care Level 1 =
35
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. Except Clinic and Special Facilities What does a 6 mean in this position?
WHEN THE FIRST DIGIT = 1-5
1. Outpatient
2. Inpatient Part A
3. Other (Part B)
4. Swing Bed
5. Intermediate Care Level II
6. Subacute Inpatient -Revenue Code 019X required
7. Inpatient Part B
8. Intermediate Care Level I
Intermediate Care Level II
example:
SNF and Intermediate Care Level II = 26
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. Except Clinic and Special Facilities What does a 7 mean in this position?
WHEN THE FIRST DIGIT = 1-5
1. Outpatient
2. Inpatient Part A
3. Other (Part B)
4. Swing Bed
5. Intermediate Care Level II
6. Subacute Inpatient -Revenue Code 019X required
7. Inpatient Part B
8. Intermediate Care Level I
Subacute Inpatient -Revenue Code 019X required
Example:
Hospital, Subacute Inpatient would be code 17
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. Except Clinic and Special Facilities What does a 8 mean in this position?
WHEN THE FIRST DIGIT = 1-5
1. Outpatient
2. Inpatient Part A
3. Other (Part B)
4. Swing Bed
5. Intermediate Care Level II
6. Subacute Inpatient -Revenue Code 019X required
7. Inpatient Part B
8. Intermediate Care Level I
Swing Bed
Example
Hospital, Swing Bed = 18
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. CLINIC What does a 1 mean in this position?
WHEN THE FIRST DIGIT a 7
- Rural Health Clinic (RHC)
- Community Mental health Center (CMHC)
- Free Standing Provider-Based Federally Qualified Health Center
(FQHC) - Comprehensive Outpatient Rehabilitation Facility (CORF)
- Hospital Based or Independent Renal Dialysis Facility
- Other Rehabilitation Facility (ORF)
Rural Health Clinic (RHC
CODE WOULD BE 71
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. CLINIC What does a 2 mean in this position?
WHEN THE FIRST DIGIT a 7
- Rural Health Clinic (RHC)
- Community Mental health Center (CMHC)
- Free Standing Provider-Based Federally Qualified Health Center
(FQHC) - Comprehensive Outpatient Rehabilitation Facility (CORF)
- Hospital Based or Independent Renal Dialysis Facility
- Other Rehabilitation Facility (ORF)
Hospital Based or Independent Renal Dialysis Facility
CODE WOULD BE 72
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. CLINIC What does a 3 mean in this position?
WHEN THE FIRST DIGIT a 7
- Rural Health Clinic (RHC)
- Community Mental health Center (CMHC)
- Free Standing Provider-Based Federally Qualified Health Center
(FQHC) - Comprehensive Outpatient Rehabilitation Facility (CORF)
- Hospital Based or Independent Renal Dialysis Facility
- Other Rehabilitation Facility (ORF)
Free Standing Provider-Based Federally Qualified Health Center
(FQHC)
CODE WOULD BE 73
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. CLINIC What does a 4 mean in this position?
WHEN THE FIRST DIGIT a 7
- Rural Health Clinic (RHC)
- Community Mental health Center (CMHC)
- Free Standing Provider-Based Federally Qualified Health Center
(FQHC) - Comprehensive Outpatient Rehabilitation Facility (CORF)
- Hospital Based or Independent Renal Dialysis Facility
- Other Rehabilitation Facility (ORF)
Other Rehabilitation Facility (ORF)
CODE WOULD BE 74
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. CLINIC What does a 5 mean in this position?
WHEN THE FIRST DIGIT a 7
- Rural Health Clinic (RHC)
- Community Mental health Center (CMHC)
- Free Standing Provider-Based Federally Qualified Health Center
(FQHC) - Comprehensive Outpatient Rehabilitation Facility (CORF)
- Hospital Based or Independent Renal Dialysis Facility
- Other Rehabilitation Facility (ORF)
Comprehensive Outpatient Rehabilitation Facility (CORF)
CODE WOULD BE 75
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. CLINIC What does a 6 mean in this position?
WHEN THE FIRST DIGIT a 7
- Rural Health Clinic (RHC)
- Community Mental health Center (CMHC)
- Free Standing Provider-Based Federally Qualified Health Center
(FQHC) - Comprehensive Outpatient Rehabilitation Facility (CORF)
- Hospital Based or Independent Renal Dialysis Facility
- Other Rehabilitation Facility (ORF)
Community Mental health Center (CMHC)
CODE WOULD BE 76
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. SPECIAL FACILITIES ONLY What does a 1 mean in this position?
WHEN THE FIRST DIGIT an 8
- Ambulatory Surgical Center services to hospital
- Hospice (Hospital Based)
- Critical Access Hospital
- Hospice (Nonhospital Based)
- Free-Standing Birthing Center
Hospice (Nonhospital Based)
CODE WILL BE 81
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. SPECIAL FACILITIES ONLY What does a 2 mean in this position?
WHEN THE FIRST DIGIT an 8
- Ambulatory Surgical Center services to hospital
- Hospice (Hospital Based)
- Critical Access Hospital
- Hospice (Nonhospital Based)
- Free-Standing Birthing Center
Hospice (Hospital Based)
CODE WILL BE 82
The 2nd Digit of the three digit Type of Bill code describes the Bill CLASSIFICATION Type. SPECIAL FACILITIES ONLY What does a 3 mean in this position?
WHEN THE FIRST DIGIT an 8
- Ambulatory Surgical Center services to hospital
- Hospice (Hospital Based)
- Critical Access Hospital
- Hospice (Nonhospital Based)
- Free-Standing Birthing Center
Ambulatory Surgical Center services to hospital
CODE WILL BE 83