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Inpatient outlier claims

M

marina030

New
Messages
2
Location
Newburgh, NY
Hi all. Still new to this and I’m a bit confused with how my facility is billing outlier claims. They are submitting the claim first without the condition code 61 to get the initial payment, and then they are sending in a replacement claim with it added on to get the outlier payment. Is this the proper process for this? I had asked them why they can’t submit the 61 on the first claim and get payment in full so as to not waste any time and was told that that is how it has to be billed.
 
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