Medical Billing Forum

General Category => General Questions => : TQualls May 19, 2009, 01:39:42 AM

: Claim Forms to Use
: TQualls May 19, 2009, 01:39:42 AM

Hi!  I am office manager for a start up express care clinic in TN.  We are opening June 1.  I was wondering which form I will need to file my paper claims on until we are live to send bills electronically.  My FNP is credentialed as a private practice provider, so I am not billing as a facility.  Would I be correct by filing a HCFA (CMS) 1500 form to each insurance company?  Or will I need to use the UB 04 forms?
Thanks!
Tammie

: Re: Claim Forms to Use
: Michele May 19, 2009, 09:43:00 AM

The CMS 1500 would be correct for billing professional services.  The UB04 is used for facility billing.

Michele

: Re: Claim Forms to Use
: laurajean412 June 20, 2009, 01:16:18 AM

What is the difference between facility billing and professional billing?

: Re: Claim Forms to Use
: Denise35 June 20, 2009, 01:56:44 AM

Facility Billing such as Skilled Nursing Facility is basically UB04s claim forms and revenue codes.  Physician billing is on the HCFA 1500 with CPT and HCPCS.

I hope this helps,

Denise 35

: Re: Claim Forms to Use
: laurajean412 June 20, 2009, 02:13:37 AM

That does! Thank you!