Medical billing is complex enough on paper. Electronic medical billing Throw into the mix and it becomes even more complex. In this installment in our series, we will cover the NSF 3 / 01 specifications FA0 record, fields 29 to 38

FA0 field 29, position 140, is the verification code indicator. This is an indicator that tells the payer if the claim was under the previous review. This is for the claims, which are usually presented previously.

FA0 field 30, position 141, the procedure is more plates. This field, when enabled, tells the client, if more than one procedure was in relation to the claim. In some cases, only the first procedure, especially if it is elective surgery.

FA0 field 31, position 142 - 151, is the mammography certification number. This is a number that must be filled when the proceedings against invoice with a mammogram. This is the ID number of the mammogram, even for these patients.

FA0 field 32, position 152 - 160, is the class results. This field is not currently supported by NSF 3 / 01 specifications and we skip to the next field.

FA0 field 33, position 161 - 163, is the podiatry service condition. This is a three-character code for the procedure if they are with a podiatry service. This field is rarely used.

FA0 field 34, position 164 - 178, is the number of CLIA. CLIA stands for Clinical Laboratory Improvement Amendments. This program was established to ensure quality laboratory testing in the diagnosis of various diseases. This field gives the test for these patients, if indeed all clinical trials were done.

FA0 field 35, position 179 - 185, is the primary insurance amount paid. This is the amount of the patient in the first place insurance on this claim. This amount will be filled, if the claim previously billed, and will again be billed for additional money.

FA0 field 36, positions 186 to 187, the procedure modifier 4th In some cases, the medical billing a 4th Modifier may be transferred, usually to a type of equipment in a given month. This box allows the 4th Modifier to be transmitted.

FA0 field 37, position 188 - 190, is the provider specialty. This is a two-character code that identifies the specialty, such as podiatry, the offeror. This field must be filled in or the claim is rejected. The reason is that the contracting entity must, to see that the offeror is entitled to costs for such a claim. For example, if the provider was a payroll specialist podiatry and ophthalmology for a claim, the claim would be denied.

FA0 field 38, position 191, is the podiatry treatment indicator. This indicator must be completed if the patient had treatment for a condition related to a claim podiatry.

In our next installment of the medical billing from NSF 3 / 01 specifications, we will host for the FA0 field starting with # 39th

Michael Russell

Your independent guide to Medical Billing