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Itemized statement

Daniel y Posted Tue 13th of December, 2016 14:34:58 PM
Hello, We have so many requests from patients to have Itemized statements. Some of patients are requesting from 2013. Is there time limitation on this? Thank you
SuperCoder Answered Wed 14th of December, 2016 08:49:33 AM

Hi,

Our team is working on it and will get back soon.

SuperCoder Answered Wed 14th of December, 2016 08:49:33 AM
Hi, Our team is working on it and will get back soon.
SuperCoder Answered Thu 15th of December, 2016 09:55:02 AM

Hi,

After doing a lot of reasearch I could not get a federal source for the time limitation for itemized statements but I can say that it is near about 5-7 years.

The detailed Itemized statement consists of four sections :

Detailed Itemized Statement Section 1

Section 1 of the detailed itemized statement contains information regarding the facility, patient, and insurance,including hospital name, address, phone number, and tax identification number, patient and medical record number, bill date, admission and discharge dates, and bill type. The patient and insurance information is obtained during the admission process. This information is registered on the hospital’s system, and a patient account number and edical record number is assigned.

 

Detailed Itemized Statement Section 2

Section 2 is utilized to record charge detail for services and items provided during the patient stay, including date of service, charge master number, and department number. This information is captured throughout the patient visit as charges are posted through the charge master by various departments. Services and items listed on the detailed itemized statement are documented in the patient’s medical record and are provided in accordance with the physician’s orders.

Detailed Itemized Statement Section 3

Section 3 highlights the revenue code column. A revenue code is assigned to each service or item provided by the hospital. Revenue codes are associated with HCPCS codes listed in the charge master. When hospital departments post charges to the patient’s account, all the associated data such as revenue codes are recorded on the patient’s account with the charge.

Detailed Itemized Statement Section 4

Section 4 contains a procedure or item code, description, quantity, and total charge for each charge. All services and items provided by the hospital are assigned a numerical or alphanumerical procedure or item code and a charge. As discussed previously, coding systems utilized for procedures and items are HCPCS Level I CPT or HCPCS Level II Medicare National code. Some payers require that a National Drug Code (NDC) be used to identify drugs and biologicals. A written description of the item or service is listed in the description line. The quantity or dose and total amount charged is listed in the next columns for each code. Many payers require submission of a detailed itemized statement with the claim. Payers that do not require submission of the detailed itemized statement with the claim form may request one after initial review of the claim. A patient may also request a detailed itemized statement after review of the summary statement or invoice.

 

Thanks,

SuperCoder Answered Thu 15th of December, 2016 09:55:02 AM
Hi, Our team is working on it and will get back soon.

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