Add Digital Signature Medical Claim with airSlate SignNow

Add digital signature Medical Claim

hi everybody charlie here again with another quick tip on how to bill for dme using a health claim form now this claim form is uh it's widely used for any insurance company for any uh workers comp as well if you're gonna be billing for workers comp uh on your own if you wanna do this on your own now this is this is for everybody that wants to build on their own and not hire an outs an outside billing company this is what the billers do this is this is uh something that every builder should know any medical supply builder or any actually any any medical biller knows exactly what this form is but this is a quick video for you that have never seen what this form is or have called me and said hey charlie how do i bill for for dme uh what is the process how do you do it uh how do i bill for this medical supplies for workers comp this is a real quick tip on how to bill for that it's the health claim form so i hope you enjoy this video i got more videos coming your way so please please subscribe or give me a call if you have any other questions at 310-539-2868 and we have a great consultation service on how to start your own dme business but this is a real quick tip on how to bill for dme all right everybody so here is what i want to show you which is the health insurance claim form now you're you're gonna bill with this form this is the um the billing form that you use when you bill for medical supplies or any type of other cpt or hcps codes which in this case we're using we're going to use the cpt codes hcpcs codes right here right where i'm i have my pointer that's where you're going to enter it but let's go step by step so we have here we have medicare medicaid tricare which is your military you have all these other insurances if it doesn't fall under any of these you're going to click on other you're going to put the insurers insurance id number right here patient's name is pretty much self-explanatory uh you follow the instructions you do the same over here patient's name patient's address city again over here ensures last name first name address you're going to check off uh patient relationship to insured patient's birth date is very very important to have the birth date there uh sex female male then here employment you have to know all these questions here um are they currently employed yes or no auto accident yes or no other accident yes or no um these are all you don't have to fill anything out here which is reserved for nucc use and you come down here and then sign where it's assigned just put s o f is what i do signature on file you put the days you put today's date whatever the date you're billing at then again here you put signature on file because you are sending this along with the prescription and everything so the signature is on file so now we have we come into this section here number 14 date of current illness um or in the instance of workers comp you're going to put the injury date or date of injury doi date of injury go here you can leave this stuff here blank as far as that goes now you're going to put here number 17 name a referring provider so that's the name of the referring provider the doctor's name whether it be uh for example lynn goodloe md her npi doctor's mpi and here number 21 is where you're going to do the diagnosis the diagnosis codes you should already have the diagnosis codes from the clinic each clinic knows how uh to input diagnosis codes so if you don't know what diagnosis codes i'm gonna have to do a whole separate video on what is a diagnosis code where to get it from and so on so for this video real quick i want to give you real quick i don't want to take too much of your time the number 21 where it says diagnosis or nature of illness or injury okay you have these letters a b c d e f and so on okay so you're going to enter the diagnosis code let's say for instance we're talking about a back brace diagnosis code s point i can't remember something like that s 53 correct me if i'm wrong that's 53.33 or something like that okay you're going to write it down here and patient only has one diagnosis code which is about they have lumbar pain or uh they've got out of surgery and they need a lumbar support brace okay so we come here and where it says uh uh the dates of service you're to input the date of service right here the date that you gave the patient their back brace so let's say you gave it july 4th 2020 to july 4th 2020 place of service i put number 12 which is in home um it's an in-home service so it's a code 12 it's an ansi code 12 is what they call it so it's 12. um also let me get this out of the way also now you come here with in in letter d cpt hcps code this is where it's very important where you have to know what the code is like i was telling you in my other videos you have to know what the codes are as far as each medical supply so for instance in this we're going to use l and l code which is l as in larry 0637 modifier which says modifier here we're going to do nu nsn ns and nancy you as in union nu which means purchase rr means rental we're not going to rent it to the patient we want the insurance the company to purchase it for the patient so we're going to use nu diagnosis pointer here since we have it on a we're going to point it down we're going to we're going to put a right here on the pointer f is the charges how much you're going to charge for this video for instance for this example we're going to charge 500 we're going to put 5 500 here g days of unit one we're only going to give one one back brace and then right here what says right next to the mpi oh right here on h you can skip that but right here where it says npi you're gonna enter your mpi and for all my clients that i've helped and i've i've been able to do this for them they should already have their mpi set up now if you need information on how to get your mpi i can also do that for you uh it's it's also included in my consultation uh you can get an mpi with me we can help you with that as well so mpi you enter it right here fedor on number 25 once you're done with you once you're all done with that you're going to go down to 25 you're going to put your federal tax id number for your business again you should already have that uh so not social security number you're going to check off ein so check that off you don't have to do the patient's account number uh you can leave this 27 blank 28 total charges now if you have more than one back brace or if you have a back brace with a knee brace with a coma mode with a walker with a hospital bed with uh you know all kinds of things that you that you have then you can add you can add more pages obviously um as far as as far as this goes if the patient has more things or needs more things so uh in the modifiers a it doesn't get complicated it just you know you have to point whatever diagnosis is down on on the on e which is that diagnosis pointer but we're only going to use one right now i don't want to make it too complicated so we're just going to use one one medical supply one diagnosis pointer from a you're gonna put a uh you're gonna uh put a the letter a where it says here diagnosis pointer a okay now we come down here total charge amount paid obviously they haven't paid you you're gonna put zero uh you have to do nothing on 30. down here is very important for you to sign and date service facility location this is your location the address the name of your facility the phone number the mpi again right here billing provider again that's you address name address mpi and that's it that's all that you need to do as far as this goes for billing one dme item so i really hope that this video has helped you out in any form uh i'm i'm trying to be as quickly and efficient as i can with my videos so that it's not too long i don't like to talk a lot i don't like to go around hoops i just like to give you exactly what you need uh go straight to the point and i hope this video has helped you out in understanding uh a health insurance claim form on how to build it this is if you want to build it yourself or you can also contact me and we can have a third party builder do all this for you because this is very time consuming especially if you get in the range of over 50 orders a month it gets very time consuming so this is for people that are doing a couple orders a month or want to get their feet wet as far as learning on how to bill the insurance the insur each insurance company and how to fill out these health insurance claim forms so thanks a lot please subscribe i got more videos coming your way thanks