Billing > Facility Billing

New here. Need help with UB-04

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ACMC:
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:

--- Quote from: ACMC on March 06, 2014, 05:07:05 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!!

--- End quote ---
So glad it is helpful. That is actually exactly why we wrote it!


--- Quote from: ACMC on March 06, 2014, 05:07:05 PM ---Questions though, I'm billing for an MH/SA IOP so no admit date in Box 12 , right? (my second error)

--- End quote ---
Right, they are not admitted so there is no admit date.  Box is left blank.



--- Quote from: ACMC on March 06, 2014, 05:07:05 PM ---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?

--- End quote ---
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.



--- Quote from: ACMC on March 06, 2014, 05:07:05 PM ---Thanks again for your help.


--- End quote ---

You're VERY welcome!

Merry:
Awesome book. Easy to understand

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