Author Topic: New here. Need help with UB-04  (Read 2708 times)

ACMC

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New here. Need help with UB-04
« on: March 05, 2014, 10:56:10 PM »
I'm a Medical Biller with over 20 years experience in Mental Health. To date, all the billing I've done has been for providers on the CMS-1500.

I'm looking for someone to walk me through a UB-04 form, specifically related to IOP. I'm willing to pay for your time.

Thank-you

Merry

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Re: New here. Need help with UB-04
« Reply #1 on: March 05, 2014, 10:59:58 PM »
I am sure someone will pop up here. Sorry I don't have any experience with UBs.
Merry

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Michele

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Re: New here. Need help with UB-04
« Reply #3 on: March 06, 2014, 09:03:42 AM »
We actually were faced with the same situation.  After many years of billing on CMS forms we were contacted by a mental health provider who ran a clinic for outpatient drug and alcohol rehab.  He had not received payment for many months because they were requiring the billing to be done on UB04's and he couldn't do it.  The account would be very profitable for us so we decided we would figure out the UB04's.  We purchased a UB92 Editor which is a book that describes each field on the UB04.  Problem was that the book was about 6 inches thick!  It had a TON of info we didn't need but it did have the info we did need.  So we waded through it and pulled out what we needed.  We did the billing for him, and several other outpatient rehab facilities.  We also decided to write a book about completing the UB04 form for people who didn't need all of the info in the UB92 Editor (not to mention it cost about $400!).  The information on the book we wrote can be found at http://www.medicalbillinglive.com/UB04-forms-book.shtml.

Full disclosure:  I wrote the book and I'm selling the book.  You don't have to buy it but it sounds like it might be perfect for what you are needing.
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shanbull

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Re: New here. Need help with UB-04
« Reply #4 on: March 06, 2014, 09:48:02 AM »
I might have to buy it too Michele! Our physical therapy department just became a CORF and therefore we have to bill everything to Medicare Part A on UB-04, and of course the only person with any experience in it just quit.

ACMC

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Re: New here. Need help with UB-04
« Reply #5 on: March 06, 2014, 02:07:05 PM »
Thank you Michelle and everyone else who responded. I purchased the book (thanks for the discount code :-) Found my first error right away e.g. type of bill!

For anyone reading this and you're new to the UB-04 form (but have experience with medical billing!!), save yourself hours of reading and research, just buy the book!!

Questions though, I'm billing for an MH/SA IOP so no admit date in Box 12 , right? (my second error)

Box 15- Patients are usually referred by a Sober Living facility, how do I answer this question? If it's a physician referral, do I then enter name and NPI in box 78?

Thanks again for your help.

Michele

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Re: New here. Need help with UB-04
« Reply #6 on: March 07, 2014, 11:27:34 AM »
Thank you Michelle and everyone else who responded. I purchased the book (thanks for the discount code :-) Found my first error right away e.g. type of bill!

For anyone reading this and you're new to the UB-04 form (but have experience with medical billing!!), save yourself hours of reading and research, just buy the book!!
So glad it is helpful. That is actually exactly why we wrote it!

Questions though, I'm billing for an MH/SA IOP so no admit date in Box 12 , right? (my second error)
Right, they are not admitted so there is no admit date.  Box is left blank.


Box 15- Patients are usually referred by a Sober Living facility, how do I answer this question? If it's a physician referral, do I then enter name and NPI in box 78?
I had to pull a copy of my book to see.   ;D  Anyway, this is not a field that should affect payment.  Sounds to me like maybe '2' for clinic referral.  It is just a 1 digit field.  I would NOT put the referring provider's NPI in box 78.  That is for "other provider" from the facility that is billing.


Thanks again for your help.


You're VERY welcome!
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Merry

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Re: New here. Need help with UB-04
« Reply #7 on: March 07, 2014, 03:46:07 PM »
Awesome book. Easy to understand