Health Information Management

PPV: Is your staff using the UB-04 properly?

HIM-HIPAA Insider, June 26, 2007

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The new UB-04 billing form replaced the veteran UB-92 in May and now hospital billing/coding staff must use it to process all claims. According to Claudia Birkenshaw, MSA, CEO of Modern Management Muse, LLC, in Flint, MI, if you continue to use the UB-92 after this date, payers will deny your claims. Potential trouble spots to watch for during this period of transition include the following:

  • Form locators 51 and 56, among others
  • Physician national provider identifier numbers
  • The present-on-admission field
  • Changes to covered/noncovered/coinsurance/lifetime reserve days

Editor's note: For more information on how to avoid UB-04 pitfalls, click here. Subscribers to Briefings on APCs can read the full article in the July 2007 issue.



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