UB-92 Revenue Codes

By , September 11, 2013 9:21 am

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UB-92 Revenue Codes

Inpatient Revenue Codes for Fee-for-Service Providers
837 Institutional/UB-92 Claim Form. Inpatient Revenue Codes for Fee-for-Service Providers. Revenue. Code Description. Category. 0001. Total Charge. 0100.

CMS Manual System – Centers for Medicare & Medicaid Services
Many UB-92 data locations have changed on the UB-04 although most of the data usage descriptions and ….. FL43 Revenue Code Description. 1-23. AN. 24.

B. CMS 1450/UB-92 Form – Indian Health Service
B. CMS 1450/UB-92 Form. July 2006. Part 4 – B-5. 2nd Digit. Classification. Definition. 6. Intermediate Care – Level II. 7. Subacute Inpatient. Revenue code 19X …

UB-92 Billing Instructions – Dmap.state.de.us
Jul 1, 2002 … Language is being added to clarify UB-92 billing instructions for form locator 42 to reflect appropriate leave of absence revenue codes for …

Ingenix, Inc.’s UB-92. Editor and Ingenix, Inc.’s HCPCS Level II code books will provide more detailed information on revenue code and. HCPCS Level II code …
Medicare UB-92 Summary – Revised 11/21/03FL 42 Revenue Code
Florida Hospital Association. UB-04 Summary – October 2012. Highlighted text is new. FL 42 – Revenue Codes. 010X All-Inclusive R&B & Ancillary. 0.
HCFA Common Procedure Coding System (HCPCS … – Mass.Gov
Mar 5, 2002 … the Ambulatory Patient Group (APG) associated with each service code; and. • the specific revenue code or codes to bill on the UB-92.
FISS UB-92 Data Entry Payer Codes
Description. D0. Change in service dates. D1. Change in charges. D2. Change in revenue code/HCPCS/ health insurance prospective payment system (HIPPS).
Tips for Completing the UB92
Refer to the UB92 Reference Codes following this … assigned by the Internal Revenue Service (IRS). 6 … UB92 Reference Codes following this document. 20.
UB-92 Billing Instructions for Outpatient Chemical Dependency …
Tutorial: Completing UB-92 Form for Outpatient Chemical Dependency Services … Use only the following revenue/procedure codes on or after January 1, 2004:.
Inpatient Discharges UB-92 Billing Form – Mississippi State …
FL 42 – Revenue Code – The provider enters the appropriate revenue codes … It must enter the appropriate numeric revenue code on the adjacent line in FL 42 …
Arkansas Code Annotated 20-7-301 et seq – Arkansas Secretary of …
‘UB-92-1450′ RECORD SPECIFICATION …. REVENUE CODES AND UNITS OF SERVICE. ….. Subset 4 – Inpatient Accommodations Data – Record Codes 50-59.
Appendices – HCUP – Agency for Healthcare Research and Quality
Data Source does not provide detailed charges for this data type or does not provide this data type. Data Source provides UB-92 revenue codes and charges.
Remittance Advice Reason Codes Key – Denver Health Medical Plan
Paper UB-04 Billing Guidelines for Facility Providers and A Guide to
form OR printed with the old UB-92 print program will be returned. …. a complete list of revenue codes, see Appendix H. (Note: A maximum of 22 services may be  …
GLOSSARY Admitting diagnosis – The Alliance for Patient Access
diagnosis codes and entered at Form Locator 76 on the CMS-1450/UB-92 claim …. Charges billed under revenue codes are assigned to corresponding cost.
TX Clean Claim Elements under SB 418 – Aetna
admissions. If no value codes are applicable to the inpatient admission, the provider may enter value code 01;. (Y) revenue code (UB-92, field 42) is required ;.
UB-92 – Institutional Providers – Texas Department of Insurance
Jun 26, 2008 … R – for inpatient admissions. If no value codes are applicable to admission, provider can enter value code 01. 42. Revenue code. R. 43.
Inpatient Hospital Prospective Payment Billing Manual – PEIA
Jul 1, 2006 … operating standardized payment amount, we have developed a table which contains all revenue codes that are billed on the UB-92.
Tables and Addenda – Provider MO HealthNet Manuals
Accommodation revenue codes include UB-92 revenue codes 10X through 21X. Ancillary revenue codes include. UB-92 revenue codes 22X through 99X.

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