Medical Billing Forum

General Category => General Questions => Topic started by: TQualls on May 18, 2009, 10:39:42 PM

Title: Claim Forms to Use
Post by: TQualls on May 18, 2009, 10:39:42 PM
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
Title: Re: Claim Forms to Use
Post by: Michele on May 19, 2009, 06:43:00 AM
The CMS 1500 would be correct for billing professional services.  The UB04 is used for facility billing.

Michele
Title: Re: Claim Forms to Use
Post by: laurajean412 on June 19, 2009, 10:16:18 PM
What is the difference between facility billing and professional billing?
Title: Re: Claim Forms to Use
Post by: Denise35 on June 19, 2009, 10:56:44 PM
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
Title: Re: Claim Forms to Use
Post by: laurajean412 on June 19, 2009, 11:13:37 PM
That does! Thank you!