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  • Casual Articles - Medical Billing - GD0 Field Requirements

    The Extra Mile Principle
    "To give real service you must add something which cannot be bought or measured with money, and that is sincerity and integrity." - Douglas AdamsThe sincerity and integrity mentioned in the above quote often leads to trust. Trust turns a prospect into a customer. For home-based businesses the customer is the lifeblood of the economic fuel that runs your business.must be filled in.

    If you're billing for parts for a bed then it depends on what the part is. For example, if you're billing for a mattress then you must fill in fields 19 and 20. If you're billing for siderails for a bed then you must fill in fields 18, 19 and 20. If you're billing for a trapeze bar then fields 10 and 14 must be filled in.

    If you're billing for either a compressor, IPPB or Nebulizer, then field 15

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    In this installment of medical billing, now that we've gotten the actual fields of the GD0 record out of the way for electronically transmitting these claims using NSF 3.01 specifications, we're going to take a look at certain field requirements depending on the type of equipment that is being certified. This is where most billers run into trouble because they don't know what fields are a must for what pieces of equipment. Hopefully, this review will clear up all the confusion. The review itself will be broken down by piece or pieces of equipment because there are some items that are billed identically to others.

    For example and just to start us off, canes, crutches and walkers are all billed the same way because they all aid in helping the patient walk. For these items GD0 record, fields 8, 9 and 12 must be filled in. If they are not, the claim will be denied.

    If you're billing a standard wheelchair then only fields 8 and 10 need to be filled in. However, if you are billing a special wheelchair, such as a motorized one, then fields 8, 10, 50, 51, 52, 53, 54 and 55 need to be filled in. If they are not, the claim will be denied.

    If you're billing for a repair of an item or a replacement part for an item, then field 19 must be filled in. Also, any other fields pertaining to that specific part must also be filled in or the claim will be denied.

    Beds get a little complicated. If you're billing a standard hospital bed then field 13 must be filled in. If you're billing a variable height hospital bed then in addition to field 13, field 4 of the GD1 record, which we haven't covered yet, must also be filled in. If you're billing an electric hospital bed then fields 13, 16 and 17 must be filled in.

    If you're billing for parts for a bed then it depends on what the part is. For example, if you're billing for a mattress then you must fill in fields 19 and 20. If you're billing for siderails for a bed then you must fill in fields 18, 19 and 20. If you're billing for a trapeze bar then fields 10 and 14 must be filled in.

    If you're billing for either a compressor, IPPB or Nebulizer, then field 15

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    fully, this review will clear up all the confusion. The review itself will be broken down by piece or pieces of equipment because there are some items that are billed identically to others.

    For example and just to start us off, canes, crutches and walkers are all billed the same way because they all aid in helping the patient walk. For these items GD0 record, fields 8, 9 and 12 must be filled in. If they are not, the claim will be denied.

    If you're billing a standard wheelchair then only fields 8 and 10 need to be filled in. However, if you are billing a special wheelchair, such as a motorized one, then fields 8, 10, 50, 51, 52, 53, 54 and 55 need to be filled in. If they are not, the claim will be denied.

    If you're billing for a repair of an item or a replacement part for an item, then field 19 must be filled in. Also, any other fields pertaining to that specific part must also be filled in or the claim will be denied.

    Beds get a little complicated. If you're billing a standard hospital bed then field 13 must be filled in. If you're billing a variable height hospital bed then in addition to field 13, field 4 of the GD1 record, which we haven't covered yet, must also be filled in. If you're billing an electric hospital bed then fields 13, 16 and 17 must be filled in.

    If you're billing for parts for a bed then it depends on what the part is. For example, if you're billing for a mattress then you must fill in fields 19 and 20. If you're billing for siderails for a bed then you must fill in fields 18, 19 and 20. If you're billing for a trapeze bar then fields 10 and 14 must be filled in.

    If you're billing for either a compressor, IPPB or Nebulizer, then field 15

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    m will be denied.

    If you're billing a standard wheelchair then only fields 8 and 10 need to be filled in. However, if you are billing a special wheelchair, such as a motorized one, then fields 8, 10, 50, 51, 52, 53, 54 and 55 need to be filled in. If they are not, the claim will be denied.

    If you're billing for a repair of an item or a replacement part for an item, then field 19 must be filled in. Also, any other fields pertaining to that specific part must also be filled in or the claim will be denied.

    Beds get a little complicated. If you're billing a standard hospital bed then field 13 must be filled in. If you're billing a variable height hospital bed then in addition to field 13, field 4 of the GD1 record, which we haven't covered yet, must also be filled in. If you're billing an electric hospital bed then fields 13, 16 and 17 must be filled in.

    If you're billing for parts for a bed then it depends on what the part is. For example, if you're billing for a mattress then you must fill in fields 19 and 20. If you're billing for siderails for a bed then you must fill in fields 18, 19 and 20. If you're billing for a trapeze bar then fields 10 and 14 must be filled in.

    If you're billing for either a compressor, IPPB or Nebulizer, then field 15

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    elds pertaining to that specific part must also be filled in or the claim will be denied.

    Beds get a little complicated. If you're billing a standard hospital bed then field 13 must be filled in. If you're billing a variable height hospital bed then in addition to field 13, field 4 of the GD1 record, which we haven't covered yet, must also be filled in. If you're billing an electric hospital bed then fields 13, 16 and 17 must be filled in.

    If you're billing for parts for a bed then it depends on what the part is. For example, if you're billing for a mattress then you must fill in fields 19 and 20. If you're billing for siderails for a bed then you must fill in fields 18, 19 and 20. If you're billing for a trapeze bar then fields 10 and 14 must be filled in.

    If you're billing for either a compressor, IPPB or Nebulizer, then field 15

    How Hot is Our Service?
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    must be filled in.

    If you're billing for parts for a bed then it depends on what the part is. For example, if you're billing for a mattress then you must fill in fields 19 and 20. If you're billing for siderails for a bed then you must fill in fields 18, 19 and 20. If you're billing for a trapeze bar then fields 10 and 14 must be filled in.

    If you're billing for either a compressor, IPPB or Nebulizer, then field 15 must be filled in. if this field is left blank then the claim will be denied. If you're billing for Decubitus Care, then fields 10, 23 and 24 must be filled in.

    If you're billing for a traction and fracture frame then field number 22 must be filled in. If you're billing for a continuous passive motion device then fields 30, 31 and 32 must be filled in. If you're billing for heat application then field 23 must be filled in.

    A commode requires fields 10 and 11 to be filled in and when billing for a sitz bath you must fill in field 14 of the GD1 record. Pumps must have fields 23, 25 and 33 filled. Blood monitors need fields 25, 26 and 27 filled in and a nasal CPAP needs fields 28 and 29 filled in.

    All these requirements should be in your gxx manual from your carrier. Please check before doing any billing.

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