Segment: CRC

Loop: 2400  Element: CRC

Element: CRC01 (Ambulance Certification Code Category)

Hard coded to '07'.

Element: CRC02 (Ambulance Certification Condition Indicator)

'N' or 'Y'.

Element: CRC03 (Ambulance Certification Condition Code)

Element: CRC03 (Ambulance Certification Condition Code)

Edit Charge->Ambulance Tab->Ambulance Certification section

01   Patient was admitted to a hospital

04   Patient was moved by stretcher

05   Patient was unconscious or in shock

06   Patient was transported in an emergency situation

07   Patient had to be physically restrained

08   Patient had visible hemorrhaging

09   Ambulance service was medically necessary

12   Patient is confined to a bed or chair. (Use code 12 to indicate patient was bedridden during transport.)

 

 

Element: CRC04 (Ambulance Certification Condition Code 2)

Element: CRC04 (Ambulance Certification Condition Code 2)

Edit Charge->Ambulance Tab->Ambulance Certification section

01   Patient was admitted to a hospital

04   Patient was moved by stretcher

05   Patient was unconscious or in shock

06   Patient was transported in an emergency situation

07   Patient had to be physically restrained

08   Patient had visible hemorrhaging

09   Ambulance service was medically necessary

12   Patient is confined to a bed or chair. (Use code 12 to indicate patient was bedridden during transport.)

 

 

Element: CRC05 (Ambulance Certification Condition Code 3)

Element: CRC05 (Ambulance Certification Condition Code 3)

Edit Charge->Ambulance Tab->Ambulance Certification section

01   Patient was admitted to a hospital

04   Patient was moved by stretcher

05   Patient was unconscious or in shock

06   Patient was transported in an emergency situation

07   Patient had to be physically restrained

08   Patient had visible hemorrhaging

09   Ambulance service was medically necessary

12   Patient is confined to a bed or chair. (Use code 12 to indicate patient was bedridden during transport.)

 

 

Element: CRC06 (Ambulance Certification Condition Code 4)

Element: CRC06 (Ambulance Certification Condition Code 4)

Edit Charge->Ambulance Tab->Ambulance Certification section

01   Patient was admitted to a hospital

04   Patient was moved by stretcher

05   Patient was unconscious or in shock

06   Patient was transported in an emergency situation

07   Patient had to be physically restrained

08   Patient had visible hemorrhaging

09   Ambulance service was medically necessary

12   Patient is confined to a bed or chair. (Use code 12 to indicate patient was bedridden during transport.)

 

 

Element: CRC07 (Ambulance Certification Condition Code 5)

Element: CRC07 (Ambulance Certification Condition Code 5)

Edit Charge->Ambulance Tab->Ambulance Certification section

01   Patient was admitted to a hospital

04   Patient was moved by stretcher

05   Patient was unconscious or in shock

06   Patient was transported in an emergency situation

07   Patient had to be physically restrained

08   Patient had visible hemorrhaging

09   Ambulance service was medically necessary

12   Patient is confined to a bed or chair. (Use code 12 to indicate patient was bedridden during transport.)

 

 

Element: CRC01 (Hospice Employee Indicator Code Category)

Hard coded to '70'.

Element: CRC02 (Hospice Employed Provider Indicator)

Element: CRC02 (Hospice Employed Provider Indicator)

Edit Charge->Misc Tab->Hospice

Element: CRC03 (Hospice Employee Condition Indicator)

Hard coded to '65'.

Element: CRC01 (Condition Indicator/Durable Medical Equipment Code Category)

Hard coded to '09', if Certification Type is defined.

Element: CRC02 (Condition Indicator/Durable Medical Equipment Certification Condition Indicator)

Element: CRC02 (Condition Indicator/Durable Medical Equipment Certification Condition Indicator)

Charges->DME Tab->Certification Condition

Element: CRC03 (Condition Indicator/Durable Medical Equipment Condition)

Element: CRC03 (Condition Indicator/Durable Medical Equipment Condition)

Charges->DME Tab->Signed Certification on file with supplier/Replacement item

38   Certification signed by the physician is on file at the supplier’s office

ZV   Replacement Item

Element: CRC04 (Condition Indicator/Durable Medical Equipment Condition 2)

Element: CRC04 (Condition Indicator/Durable Medical Equipment Condition 2)

Charges->DME Tab->Signed Certification on file with supplier/Replacement item

38   Certification signed by the physician is on file at the supplier’s office

ZV   Replacement Item