February 9, 2021
Starting February 1, 2021, the plan requires hospital providers to use inpatient type of bill code 0112 interim when billing first-time claims for interim inpatient stays that exceed 100 consecutive days.
For each subsequent inpatient hospital billing, the previous interim claim is voided by being recouped and replaced with the new claim type of bill code 0117. New inpatient hospital claims require the initial date of admission, dates of service and amounts from previous claims through the current billing. The final replacement claim must be billed for the complete stay, from the first date of admission through the date of final discharge.
Questions regarding this update can be emailed to FLProviderRelations@Wellcare.com.
