How is the OPFS bundling of multiple dates of service applied to claims?
Bundle only those applicable services on the same date of service as each bundling trigger. For example: Claim dates of service 10/1 – 10/2 Bundling trigger procedure (as defined on RF797) occurs on 10/1 and there is no bundling trigger procedure on 10/2. Only those applicable services (as defined on RF796) which occur on 10/1 should be subject to bundling. Claim dates of service 10/1 – 10/2 Bundling trigger procedure (as defined on RF797) occurs on 10/1 and there is also an additional bundling trigger procedure that occurs on 10/2. Those applicable services (as defined on RF796) which occur on 10/1 and 10/2 should be subject to bundling.
Related Questions
- Will there be a crosswalk for Pharmacy Point of Service (POS) claim reversals and rebills for dates of service prior to December 17, 2007?
- Why do some employees have state service credit that does not have associated dates of state employment?
- Since the therapy caps are applied for dates of service 070103 and after, how will CWF correctly edit?
