Comparing CMS-1500 And UB-04 Forms

Unit 1 Assignment For HI252 From Learline McGeeStudent Name: Learline McGeeUnit 1 Assignment: CMS-1500 and UB-04 FormsDifferentiate between CMS-1500 and UB-04 forms Instructions: 1. Review information in textbook - Chapter 1 on the CMS-1500 and UB-04 billing forms. 2. Review the following two web sites for additional information: The National Uniform Claims Committee which approves the CMS-1500 billing form. The National Uniform Billing Committee which approves the UB-04 billing form. 3. In a 1-2 page paper using separate headings which follows APA format, address the following: What kind of healthcare institutions uses the two forms? Be specific and provide examples. How do the two forms differ? What types of patient information, codes,

The data from these forms are then translated into the electronic format. Within this form there are 33 numbered fields. Fields 1- 13 are the patient’s personal informationand the insurance information fields. Fields 14- 20 are related to the patient’s medical situation (s) including dates of situations and any hospital, lab, occupational injuries, etc. Fields 21- 24 identifies the various codes for diagnostic, procedures, and services. For example field 21
Unit 1 Assignment For HI252 From Learline McGeeidentifies the ICD-9-CM codes which are for diagnostic purposes and field 24d are for both CPT/HCPCS codes and modifiers which are for procedures, injectable drugs, and more information, etc. Field 24E puts the related CPT/HCPCS codes to the diagnosis by adding a number (1, 2, 3, or 4) which show which code is with which procedure. So if I go to my primary care physician for a physical and during the physical he noticed I had high blood pressure so he prescribed me a medication plus needed lab work he would use this form for claims.Hospitals use the CMS-1450 form (UB-04) for both outpatient and inpatient services. Data elements are part of the fields for claim submission for Medicare Part A services. This form can also be used by