V57.1 used on FIRST DIAGNOSIS FOR ALL PHYSICAL
THERAPISTS / ANY INSURANCE COMPANY
Check that code 97799 is NOT used with
any Anthem for physical therapy (If it exists then delete
the code 97799 from the transaction and keep the rest as
is - nothing else to do). Rule applies from 2/24/04
on.
Copay amount correctly posted
Check UNITS to make sure they match
with superbill
GP modifier on all PT(Physical
Therapist) Procedure for MEDICARE only
Same PROVIDER under CASE and ATTENDING
PROVIDER
Dx entered correctly (If unsure, check
the last transaction entered for the same patient for an
example)
If no insurance superbills, give back
to the office (Southport)
DONE
Run DATA
INTEGRITY CHECKS REPORTS - make corrections as necessary
