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Behavioral Health Services
Behavioral Health Services

Correct room and board billing code

Recovery Residence providers need to ensure that clients are entered into the correct room and board billing code.  Additionally, the team needs to be reviewing the Length of Stay (LOS) to seek additional approval for services as needed.

Review room and board billing code

Run the BHSD 3509 RR Admission and Discharges Report frequently to check the client’s LOS and to confirm the correct Room and Board Billing Code was chosen for the client. 

The is a report in ProviderConnect NX (PCNX) that shows an example of client's enrolled and separated by their room and board billing code.

Incorrect room and board billing code

If a client was incorrectly placed in the wrong Room and Board Billing Code, (e.g., CGF was chosen when it should have been STEP) the episode will have to be deleted and all forms will have to be resubmitted. The Admission form does not allow changes to be made to the Room and Board Billing Code field once it has been submitted.

This is showing an example of the Admission form in PCNX with the wrong room and board billing code and notating that because it can't be changed the team needs to reach out to the County for support.

Request to correct room and board billing code

To change Room and Board billing code, Recovery Residence will gather the information below and email the EHR team and copy the corresponding teams, CMU Team for SUTS referrals and Re-Entry Team for STEP referrals.

  • Action request: Change room and board billing code
  • Client's myAvatar ID 
  • Client's last name
  • Client's first name
  • Episode number 
  • Episode name
  • Admission date
  • Reason for request: Incorrect room and board billing code

The EHR team will send a confirmation email once the Room and Board Billing Code has been changed.

Published March 13, 2022