Category: Practice Resource
ICD-9 & ICD-10 Lactation Visit Receipt, a professional receipt of lactation services, commonly called a “lactation superbill”
This packet offers all forms for starting up a outpatient lactation services business. Now with optional PDF Fillable Forms – Lactation Visit Receipt, Consent & Financial Form, Breastfeeding Questionnaire, Documentation Forms & Telephone Triage Form
With PDF Fillable Forms, records can be entered on any electronic device with PDF software and stored in a client chart electronically. This packet is not just an upgrade with both ICD-9 & ICD-10, but contains much new valuable information for IBCLCs regarding ACA, pros and cons of contracting with insurance companies, proper use of sliding scales, and more.
How can this be accessed or purchased?
A two step process at website of www.patlc.com/LVR. Fill out order form then pay for either the Regular Packet $75.00 (non PDF-fillable forms) or Deluxe Packet $90.00 (PDF-fillable forms), after filling out the order form select type of packet and pay via PayPal. Order will be customized with your business information and sent to you via email and Dropbox within 7-10 days. Please read over all info on website before ordering. You will need an Employer Identification Number (EIN) and a National Provider Indentification Number (NPI) to place the order. These are both necessary to put on the header of the “lactation superbill.” See website for information on how to obtain EIN and NPI.
Pat reserves the right to sell her packet only to IBCLCs, MD, Midwives, ARNP and PAs. USLCA members are offered a rebate of $15.00 with proof of USLCA membership.
USLCA does not endorse the use or sale of this product. Post expires July 20, 2018.