RE: New medicare 5010

[Guest guest]

CMS has published a number of resources on the transition to 5010, you many

find these helpful in framing your questions to your Medicare contractor.

<http://www.cms.gov/ICD10/11a_Version_5010.asp#TopOfPage>

http://www.cms.gov/ICD10/11a_Version_5010.asp#TopOfPage

J. Beckley, MS, MBA, CHC | President

Beckley & Associates LLC

P | F

<http://nancybeckley.com/> nancybeckley.com |

<http://rehabcomplianceblog.com/> rehabcomplianceblog.com

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From: PTManager [mailto:PTManager ] On Behalf

Of

Sent: Tuesday, January 24, 2012 1:58 PM

To: PTManager

Subject: New medicare 5010

Hi everyone,

As you all know we have to start billing with this new 5010 from Medicare.

Is anyone having issue with this?

We are part A providers outpatient physical therapy in NJ.

I've been on the phone with medicare almost every single day regarding the

issues I'm coming across with 5010.

They do help but some of the questions they don't want to answer.

Question #1 When billing with PC ace software they are asking for TYP. Now

TYP has several numbers with responds to choose from. 1) emergency 2) urgent

3) elective and 9) information not available.

Looking at each one and the definition from NUBC it looks like we could use

#2 or#3. Number 2 sounds more like post surgery or when a patient must be

seen asap directed by their doctor. Number 3 is more like the patient could

wait to be seen (non urgent visit) even though the patient has some

discomfort or pain.

I have a patient who had hip surgery 2 weeks ago, do I bill #2 urgent and if

so how long do I bill number #2 to Medicare? When does the patient become a

#3? Should we make the patient a #2 on the second prescription?

Please provide me with feedback or direct me to links, where I could find

the answers.

Thank you,

Lesniak

JCPT