IMA
IMA Admin Update
OASAS Service Specific Billing Limitations
April 19, 2012

OASAS Service Specific Billing Limitations   

We have now added to the IMA APG billing module some new Grouper exception messages and APG Billing M errors to monitor many of the OASAS Service Specific Billing Limitations for 822 Outpatient and Day Rehabilitation programs.

For example, the billing system can be configured to stop claims with more than one individual or group service in a day or a claim with a three hour IOS and an individual service.

The full set of rules can be found in this linked OASAS document  
    OASAS Service Specific Billing Limitations

Please contact the helpdesk if you want to learn how to activate this feature. 

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