Inpatient Rehabilitation Hospitals - factory guarnatee Billing - Billing guarnatee on Ub04 Forms Correctly
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Inpatient Rehabilitation Hospitals! Again, for I know. Ready to share new things that are useful. You and your friends.Facility billing is assurance billing for hospitals, patient or patient clinics, and other offices such as ambulatory surgical operation centers. This assurance billing is not the same as billing for a regular doctor or specialist.
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We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Inpatient Rehabilitation Hospitals.Facility billing is required to be submitted on Ub04 forms instead of the more base Cms 1500 forms. The information required on Ub04 forms is different than the information required on the Cms 1500.
For example, Ub04 forms want rev codes and a type of bill code that are not required on the Cms1500 form. There are also a lot of "conditional fields" that for most situations are not required to be completed. It is important that you know how to faultless the Ub04 form correctly in order to get reimbursed properly from the assurance carrier.
Some offices may bill as both premise and expert billing. We bill for an patient drug and alcohol rehab premise that is owned by an Lcsw. Some assurance carriers have it credentialed as a premise and want the billing to be done on Ub04 forms. This is useful to our client because the premise reimbursement rate is higher than the expert reimbursement rate. But other assurance carriers will not credential him as a premise and he must bill services out to them on Cms1500 forms as regular therapy visits.
So you may find yourself in a position where you need to bill out on both the Ub04 and the Cms 1500 forms. In any case, it is crucial that you are completing the forms correctly.
When we first learned how to submit Ub04 forms, they were surely still the old Ub92 forms. We had to purchase a book called the Ub92 editor which is a very detailed book on what all the fields on the Ub92 form are for. It was helpful, but it surely contained too much information. The book is hard to navigate and is surely quite costly. The information in it is required if you are doing in depth patient billing, but for the littler guy, such as patient clinics, it is too much info and too difficult to decipher. We receive tons of questions from population who are trying to faultless a Ub04 form properly.
In order to faultless the Ub04 forms correctly for premise billing, it is very important to understand the differences in billing procedures between the Cms 1500 forms and the Ub04 forms. Make sure your claims are paid correctly the first time they are submitted.
Copyright 2007- Michele Redmond
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