APS Billing Primer

Print extra list in morning before you start rounding for billing. Submit this list once coded to the billing office.
Only bill for patients actually seen by either yourself or one of the APS NP’s.
Patients enrolled via OR: APS does not bill the enrollment. The attending in the OR bill C015 & C101. If patient went to OR while enrolled on APS check with attending if they will be billing any APS codes.
New consults: Bill either C215 (elective in-patients) or A215 (all other patients). Add C101 if consult done in PACU, CrCu, CVICU, B5ICU, D4, BurnICU, CCU (cardiac ICU) or SCU at HOAC.
Follow up visits: regardless of modality, bill C014 (add C101 for patients in PACU, any ICU or SCU at HOAC)
If you insert any blocks on APS patients - please bill blocks codes (G260, G060, G061 +/- G279) accordingly. Add E409 (>1700) or E410 (2400-0700)
E420 (ISS>15, ASA 4) trauma code also applies to consults/assessments and visits for the first 24 hrs.
Weekdays after hours assessments: bill A014 plus premiums C962 & C994 (first patient 17:00-2400), C995 (subsequent patients 17:00-2400) or C964 & C996 (first patient 2400-0700), C997 (subsequent patients 2400-0700).
The individual on pain service is RESPONSIBLE for ensuring services are billed on the change over day (Monday).