Medical Billing Training-- Do ASCs utilize CMS 1500 or UB 04 Types

Medical Billing Training– Do ASCs utilize CMS 1500 or UB 04 Forms https://www.cco.us/certified-professional-biller-cpb-medical-billing-course

Alicia: There she is.

Boyd: Taadaa!

Dawn: Hey, how are you?

Boyd: We’re doing great, how are you?

Dawn: Hangin’ therein.

Boyd: You’re still alive and well, terrific. Thanks for joining us here this evening.

Dawn: Cool!

Alicia: Dawn is our billing course trainer. We had a question come in to the forum that it was perfect for Dawn, so we had it come in tonight regarding the 1500 forms versus the UB 04 forms.

Q: The question is, Dawn: Do ASCs utilize the CMS 1500 or UB 04 forms?

What all medical billing students are taught is that inpatient billing is done on the UB 04 and outpatient billing is done on the CMS 1500 type. An ambulatory surgery centers kind of in between both of them, so what do you utilize? The response is both kinds are utilized depending on what type of ASC you’re billing for.

If the surgical treatment center belongs to the health center, you’re most likely going to utilize the UB 04 type due to the fact that hospitals use that kind. They keep everything standardized, it becomes part of the hospital, they’ll bill on the UB 04 form. If it’s a freestanding ambulatory surgical treatment center not connected with the healthcare facility, it will probably bill out using the CMS 1500 type as to the outpatient facility would.

The main difference between the UB 04 type and the CMS 1500 form is the CMS 1500 is basically has less stuff on it, like less spaces for things, due to the fact that when we go to the doctor and you have an encounter there’s just a lot of things that’s going to occur because sort of a setting. Whereas, when you remain in the health center they’re scanning everything. They bring you a Q-tip, they’re going to scan that thing in for $10 now on your chart; so you need a lot more spaces for whatever. That’s why the UB 04 inpatient is much more intricate than the CMS 1500 form.

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http://medicalbillingcertificationprograms.org/medical-billing-training-do-ascs-utilize-cms-1500-or-ub-04-types/