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NEW YORK STATE MEDICAID PROGRAM SCHOOL SUPPORTIVE HEALTH SERVICES PROGRAM (SS HSP) PRESCHOOL SUPPORTIVE HEALTH SERVICES PROGRAM (PS HSP) UB-04 BILLING GUIDELINES SS HSP/PS HSP UB-04 Billing Guidelines

How to fill out billing guidelines ub-04

How to fill out billing guidelines ub-04:

1. Start by entering the facility name and address in the designated fields on the form.
2. Provide the patient's demographic information, including their name, date of birth, and gender.
3. Include the patient's admission date and discharge date, if applicable.
4. Indicate the patient's marital status and employment status, if relevant.
5. Enter the patient's insurance information, including the name of the insurance company and the policy number.
6. Specify the patient's diagnosis and the reason for the current treatment or services provided.
7. Use the appropriate codes to describe the services rendered, including procedure codes and revenue codes.
8. Document any modifiers or additional information that may be required.
9. Indicate the number of days or units for each service provided.
10. Calculate the charges for each service and enter the appropriate amounts.
11. Include any additional charges or adjustments as necessary.
12. Finally, review all the information entered for accuracy and completeness before submitting the billing form.

Who needs billing guidelines ub-04?

1. Healthcare facilities, such as hospitals, nursing homes, and rehabilitation centers, need billing guidelines ub-04 to ensure accurate and consistent billing practices.
2. Medical billing and coding professionals use billing guidelines ub-04 to properly complete and submit claims for reimbursement.
3. Insurance companies rely on billing guidelines ub-04 to process claims and determine coverage and payments.
4. Government agencies, such as Medicare and Medicaid, utilize billing guidelines ub-04 to manage and regulate healthcare reimbursements.
5. Patients may also benefit from understanding billing guidelines ub-04 to better comprehend their medical bills and insurance coverage.

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