factory insurance Billing - Billing insurance on Ub04 Forms Correctly

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Facility billing is insurance billing for hospitals, sick person or sick person clinics, and other offices such as ambulatory surgical operation centers. This insurance billing is not the same as billing for a regular physician or specialist.

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Facility billing is required to be submitted on Ub04 forms instead of the more coarse Cms 1500 forms. The facts required on Ub04 forms is separate than the facts required on the Cms 1500.

For example, Ub04 forms wish 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 foremost that you know how to perfect the Ub04 form correctly in order to get reimbursed properly from the insurance carrier.

Some offices may bill as both installation and expert billing. We bill for an sick person drug and alcohol rehab installation that is owned by an Lcsw. Some insurance carriers have it credentialed as a installation and wish the billing to be done on Ub04 forms. This is useful to our client because the installation reimbursement rate is higher than the expert reimbursement rate. But other insurance carriers will not credential him as a installation 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 verily 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 verily contained too much information. The book is hard to navigate and is verily quite costly. The facts in it is required if you are doing in depth sick person billing, but for the littler guy, such as sick person clinics, it is too much info and too difficult to decipher. We receive tons of questions from population who are trying to perfect a Ub04 form properly.

In order to perfect the Ub04 forms correctly for installation billing, it is very foremost 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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