Health Information Management

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

HIM-HIPAA Insider, June 26, 2007

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

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.

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular