PODIATRY DATE LAST SEEN AND DR NPI

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BILLINGFEET
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PODIATRY DATE LAST SEEN AND DR NPI

Post by BILLINGFEET » Tue Jan 31, 2017 3:39 pm

I do the billing for a podiatrist and I can not figure out where to put my referring physician NPI and date last seen, everything I have tried still gets me an ADR from Medicare I have to do for every 11055, 11056, or 11721 that I submit. please help.

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Gavin Walker
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Re: PODIATRY DATE LAST SEEN AND DR NPI

Post by Gavin Walker » Tue Jan 31, 2017 5:54 pm

If you are using Medisoft, the referring physician's NPI goes on the Referring Provider IDs tab of the Referring Provider record. Date Last Seen is on the Miscellaneous tab of the Case.
Gavin Walker
Walker Tek Solutions, LLC
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BILLINGFEET
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Joined: Tue Jan 31, 2017 3:26 pm

Re: PODIATRY DATE LAST SEEN AND DR NPI

Post by BILLINGFEET » Wed Feb 01, 2017 8:04 am

All that is already in my case and does not populate where Medicare wants it.
the date last seen needs to be in loop 2300 segment DTP and element DTP01, which should send the 304 qualifier, I don't know where to put the date so that DTP01 date/time qualifier populates on my claim.

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Gavin Walker
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Re: PODIATRY DATE LAST SEEN AND DR NPI

Post by Gavin Walker » Thu Feb 02, 2017 4:23 pm

That's where it goes. Are you using Revenue Management to send the claims in ANSI 5010 format?

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