In this series we’re going to cover common billing mistakes and how to avoid them. This will save you from potential headaches with rejected billings, and help you get paid for your services faster. Today we’re tackling an MSP fee code for practitioners in British Columbia – 00081 (Emergency bedside care) When to bill Fee Code 00081 You can bill fee code 00081 when evaluating, diagnosing and treating a critically ill patient who requires constant bedside care. In MSP’s words, a critically ill patient has an immediately life threatening illness or injury associated with any of the following conditions: Cardiac Arrest Multiple Trauma Acute Respiratory Failure Coma Shock Cardiac Arrhythmia with haemodynamic compromise Hypothermia Other immediate life threatening situations This fee code includes the following procedure items where required: defibrillation, cardioversion, peripheral intravenous lines, arterial blood gases, nasogastric tubes with or without lavage and urinary catheters (as part of a cardiac arrest). Tips for Billing 00081 & Mistakes to Avoid 00081 is billable for active hands on Life Saving Management only. It is NOT payable for: Managing the patient’s family Discussion with other health care professions Arranging transfers. Call out or continuing care n/a with critical care fee codes. The note section for your claim must be concise. Keep it under 20 characters to get it paid faster. You must indicate what was the urgent issue and what action was performed. Keep is short! For example: 08:30 – 09:00 CPR, intubated, 09:00 – 09:30 IV meds, catheter insertion. You are only required to list the name of the live saving management performed each 30 min interval. Other examples: ACLS protocols Bagged Cardioversion Catheter insertion Central line insertion CPR Infusion Intubated IV meds O2 Transfusion Ventilated Reason for rejections: This code is billable in 30 min blocks and you must state what hands on life saving action occurred per each 30 min block. It’s billable with a visit/consult, but the visit is considered the first 30 minutes – 00081 is billable after that time period. Billing more than one unit of 00081. You must indicate in the note section what was done during each 30 minute block, or it will be refused by MSP as they will ask for more details. Looking for more advice? See our MSP Billing Guide for more tips on submitting claims properly. This article offers general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates. Related posts: MSP Rejection Examples and Tips to Fix them Modifications for MSP Claims BC Retroactive Payments Solutions Designed For The Unique Needs Of Your Practice Get a $150 Credit when you sign up for Dr.Bill*. No credit card required. Terms & conditions apply Learn More
1/* When you sign up for the Comprehensive Plan (fee of 1.95% of paid claims per billing cycle) with Dr.Bill you will receive a $150 billing credit (“Billing Credit”) to be applied to future Dr.Bill fees ( “Offer”). Offer is only available to new Dr.Bill users and can only be used once. Billing Credit cannot be converted to cash. If you cancel your Dr.Bill account or switch to the Essentials Plan at any time before the Billing Credit balance has reached $0, you will forfeit the balance of the Billing Credit. Offer cannot be applied retroactively and may not be combined or used in conjunction with any other Dr.Bill offer. Offer is only available in provinces where Dr.Bill operates. Offer may be amended or withdrawn at any time without notice. 2Up to $7,500 in billings free refers to the maximum amount of billings with a fee rate of 1.95% of paid claims that the $150 billing credit would cover in full. You will be charged for any additional services requested outside of the Comprehensive plan.
Already an MDBilling.ca client? It’s business as usual and you’ll still be using the same product you’ve come to know and trust for your medical billing. Click here to sign in to your MDBilling.ca account as you normally would.
Looking for MDBilling.ca? You’re in the right place! Dr.Bill and MDBilling.ca have come together to make it even easier to find the right codes, submit claims and get paid.