Get the free Nursing Facility UB-04 Paper Billing Guide - Oregon.gov - oregon

Nursing Facility UB-04 Paper Billing Guide Oregon Medicaid Nursing Facilities January 2010 Revised 01/28/10 1 TABLE OF CONTENTS Introduction ...................................................................................

How to fill out nursing facility ub-04 paper

How to fill out nursing facility UB-04 paper:

1. Gather necessary information: Before starting, make sure you have all the required information readily available. This includes the patient's personal information, insurance details, and the services provided.
2. Identify the patient: Start by entering the patient's full name, date of birth, and address in the designated fields on the UB-04 form. It is crucial to ensure accuracy and double-check the information.
3. Provide insurance information: Fill out the patient's insurance details, including policy number, group number, and any other relevant information. Additionally, indicate if the patient has secondary insurance by marking the appropriate box.
4. Include admission and discharge dates: Specify the dates of admission and discharge for the patient in the respective boxes on the form. This information helps in determining the length of stay in the nursing facility.
5. Record occurrence codes: Occurrence codes are used to report important events or circumstances related to the patient's stay. Input any relevant occurrence codes as instructed, such as accidents or specific procedures performed.
6. Enter revenue codes: Revenue codes are used to indicate the specific services provided to the patient during their stay. Each service is assigned a unique revenue code, so ensure that the correct codes are entered accurately.
7. Include diagnosis codes: Enter the relevant diagnosis codes for the patient's condition. These codes provide crucial information about the primary reason for their admission to the nursing facility.
8. Provide procedure codes: If any procedures were performed during the patient's stay, enter the corresponding procedure codes. These codes ensure accurate billing and reimbursement for the services rendered.
9. Indicate billing information: Complete the billing section of the UB-04 form, including the charges for each service provided, the number of days/units, and the total cost. Additionally, include any applicable adjustments or discounts.
10. Sign and submit: Ensure that the form is signed by an authorized individual, usually a healthcare provider or billing personnel. Once completed, submit the UB-04 form to the appropriate insurance company or payer for reimbursement.

Who needs nursing facility UB-04 paper?

The nursing facility UB-04 paper is needed by healthcare providers and facilities, such as nursing homes or long-term care facilities, to properly bill and submit claims for the services provided to patients. It is an essential document for accurate and timely reimbursement from insurance companies or other payers.

For pdfFiller’s FAQs

What is nursing facility ub-04 paper?

The nursing facility UB-04 paper is a claim form used by nursing facilities to bill for services provided to patients.

Who is required to file nursing facility ub-04 paper?

Nursing facilities are required to file the UB-04 paper for services provided to patients.

How to fill out nursing facility ub-04 paper?

The UB-04 paper is typically filled out by providing information about the patient, services provided, and costs incurred.

What is the purpose of nursing facility ub-04 paper?

The purpose of the nursing facility UB-04 paper is to bill for services provided to patients and to ensure proper reimbursement.

What information must be reported on nursing facility ub-04 paper?

Information such as patient demographics, dates of service, services provided, and costs incurred must be reported on the UB-04 paper.

How can I manage my nursing facility ub-04 paper directly from Gmail?

It's easy to use pdfFiller's Gmail add-on to make and edit your nursing facility ub-04 paper and any other documents you get right in your email. You can also eSign them. Take a look at the Google Workspace Marketplace and get pdfFiller for Gmail. Get rid of the time-consuming steps and easily manage your documents and eSignatures with the help of an app.

How do I fill out nursing facility ub-04 paper using my mobile device?

Use the pdfFiller mobile app to fill out and sign nursing facility ub-04 paper. Visit our website (https://edit-pdf-ios-android.pdffiller.com/) to learn more about our mobile applications, their features, and how to get started.

How do I complete nursing facility ub-04 paper on an Android device?

Complete your nursing facility ub-04 paper and other papers on your Android device by using the pdfFiller mobile app. The program includes all of the necessary document management tools, such as editing content, eSigning, annotating, sharing files, and so on. You will be able to view your papers at any time as long as you have an internet connection.