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https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Outpatient-Hospital-Observation-Policy-Facility.pdf
You should accurately report the number of observation units/hours provided, but in order to be considered for reimbursement under the CMS billing and payment guidelines and this policy, the indicated number of units reported with HCPCS code G0378 must equal or exceed 8 hours. 5
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https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/observation-care-outpatient-hospital.pdf
the patient as an inpatient can be made in less than 48 hours, usually in less than 24 hours. In only rare and exceptional cases do reasonable and necessary outpatient observation services span more than 48 hours. Hospitals may bill for patients who are “direct referrals” to observation. A “direct referral” occurs when a …
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https://www.providerexpress.com/content/dam/ope-provexpr/us/pdfs/clinResourcesMain/autismABA/abaFAQ.pdf
general we see 1 hour for every 10 hours of direct Behavior Technician hours being provided. If you request more hours than the 1:10 ratio, please be prepared to provide a clinical rationale when you call in to request treatment. Q17. Is it possible to bill for supervision and the Behavior Technician’s services at the …
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