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  • Tiffany

    Member
    July 7, 2020 at 8:19 pm

    Right, I know it is only on the final and we have been billing with 61 and 62, respectively, but I have had claims not pay institutional when there are those codes on the claim because there is not an inpatient claim on file. I was wondering if you were seeing the same thing. HIPPS shows institutional, Medicare downcodes to community, check HETS and there is no inpt. Claim on file But we know the patient was inpt. Code 61 or 62 did not matter on the claim because there was no inpt. Claim on file..