Wiki Billing Urgent Care for Total Health Care Insurance

[ccarte10]

I know that every urgent care is different, however we were told to bill our urgent care claims for Total Health Care with all 99214s??? Has anyone ever heard of this, or been informed to do this? We have global codes for other insurance agencies (S9088, S9083 etc.), but it just seems incorrect that no matter what level of service that was performed, that THC requires you to bill a 99214. Goes against everything we ever learned about coding....any input???

 

[lmartien]

Can you say who told you to bill this way? It would seem that regardless of the type or level of care, coding and billing would depend on the documentation in the medical record. Surely, this would not stand up on audit!