2.3 Invoicing

DVR Rehabilitation Counselors will authorize for treatment facility services prior to service delivery based on the treating physician's treatment plan, the type of facility to be used, and the anticipated length of stay. Final outpatient or inpatient treatment facility rates cannot be established until after an invoice has been received and reviewed.

Invoices for hospitalization or other treatment facility services must contain the following information (normally submitted on a UB-92 form):

• Patient name and unique identifier (e.g., medical record number);

• Hospital or clinic provider name, number, and type of facility;

• Dates of hospitalization;

• Inpatient or outpatient status;

• Itemized billing for services;

• Diagnostic Related Grouping (DRG) for inpatient hospital services; and

• CPT code of treatment rendered for outpatient services.