rsjbic32
Guest
Prior Auth is required for PHP LOS (H0015-TG) for OH Medicaid. If PHP is denied authorization by payer (H0015 - TG) can we automatically bill IOP? Client has been in PHP during waiting period for authorization to be completed, and I wanted to make sure if the PHP was denied if it is ok to lower the LOS to IOP even though client was actually attending PHP x 10 days.