For more information on 03.01AA check out the full post here.
The After-hours time premium (03.01AA) is a great code to use if you’re working late, on weekends or during the holidays. You can use it for a number of patient care activities when you’re working in active treatment hospitals, nursing homes or auxiliary hospitals.
Activities you can bill 03.01AA for:
You must have physically seen the patient on the same date in order to submit claims for 03.01AA. You can bill it for:
- Reviewing (but not waiting for lab or DI results).
- Consulting with other health providers on the service about the patient’s care.
- Writing a referral/consultant letter.
- Any other physician activities included in managing the patient’s care.
03.01AA is a time-based premium, which means it’s based on 15 minute units. It uses a modifier to indicate the time of day and how many 15 minute units it took.
Trying to remember what modifier to use can get complicated quickly. In order to simplify things, we’ve automated the process so that now all you need to do is put in your start and stop times and we'll automatically calculate it for you!
On the iPhone
Follow along with the screenshots:
Step 1. Create a new claim and choose 03.01AA. Don’t worry about the modifiers, just make sure you add your start and stop times. Then click save (you’re done)!
Step 2. If you want to see how much was calculated, click on the “claims” calendar on the front page.
Step 3. Click on the date of service you created the claim for and you’ll see the $ amount.
Step 4. If you want to see the exact modifier that was calculated click on the claim.
Explanation: For this example, our start and stop times were 10:05pm - 11:00pm, so the app calculated TNTP (Any Day: 10:00pm – 12:00am) and 04 because it took up 3 full 15 minute units and some of the 4th unit.
On the Web App
It’s the same process, you just enter in your start and end times and they’ll get calculated automatically. The modifier and $ amount will appear on the bottom right hand corner of the screen.
If you have any questions don’t hesitate to contact us!