The UB 04 form is very different from the CMS-1500 medical claim form. This is because while hospitals don’t generally charge for patient procedures, doctors do. When a doctor performs a procedure at a hospital, they’ll bill their services individually to the patient’s insurance, using the CMS-1500 claim form.
The UB-04 and CMS-1500 forms are designed and maintained by the National Uniform Claim Committee (NUCC). Both of these forms are used for reimbursement purposes but these forms tend to vary in terms of usage. The UB-04 Form. The term ‘UB’ in the UB-04 stands for Uniform Billing. It.
UB-04 claim for is for inpatient stay greater than 24 hours in a medical facility. And CMS-1500 is for outpatient visits that are same day discharge or less than 24 hours. CMS-1450 is sometimes another term for UB-04 claim form.
The UB-04 (CMS 1450) is a claim form used by hospitals, nursing facilities, in-patient, and other facility providers. On the other hand, the HCFA-1500 (CMS 1500) is a medical claim form employed by individual doctors & practices, nurses, and professionals, including therapists, chiropractors, and out-patient clinics.
When a physician has a private practice but performs services at an institutional facility such as a hospital or outpatient facility, the CMS-1500 form would be used to bill for their services. The UB-04 (CMS-1450) form is the claim form for institutional facilities such as hospitals or outpatient facilities.
BREAKING DOWN THE CMS-1500 VS. UB-04 (Formerly known as …
What’s The Difference Between CMS-1500 and UB-04 or CMS-1450, What’s The Difference Between CMS-1500 and UB-04 or CMS-1450, BREAKING DOWN THE CMS-1500 VS. UB-04 (Formerly known as …
