Saturday, July 7, 2012

Ub04 Forms for installation Billing - Make Sure They Are Completed Properly

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If your clinic or office is established as a premise by the guarnatee company, you are required to file your healing guarnatee claims on Ub04 forms rather than Cms 1500 claim forms. Many providers' claims are denied because they are filed on Cms forms. These offices don't know what to do as they not familiar with the Ub04s.

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Ub04 forms (formerly Ub92 forms) are quite a bit distinct than Cms or Hcfa forms and want distinct information. They can be very confusing, but it is prominent to faultless the Ub04 correctly if you expect cost from the guarnatee companies.

Rev codes, type of bill, and value codes are required on the Ub form. These are all new to those of us who have only completed Cms 1500 forms. You must be able to shape out what to put in these fields to faultless the claim properly.

Many of the guarnatee carriers have distinct requirements for what facts goes in each box on the Ub04 form. For example, one company may want a positive rev code for the assistance you are billing for, while other company may want a totally distinct rev code for the same service.

We bill for an sick person drug and alcohol rehab facility. Bcbs requires rev code 945 but Ubh requires we bill it with rev code 0513. It is exactly the same assistance but if we want the claim to be paid, that's what we have to do. It is prominent to know the distinct requirements for each of the guarnatee carriers that you bill to.

If one required box is not completed, the claim will be denied by the guarnatee carrier. If Cpt codes are entered instead of Rev codes, the claim will be denied. It is not difficult to get Ub04 claims paid, it is just critical to understand what the required facts is.

Make sure you know how to faultless these forms correctly so you will receive maximum repayment for your guarnatee claims when you are required to use the Ub04 form.

Copyright 2008 - Alice Scott

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