| Resources > UB-04 Forms & Publications |
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Full color paper proofs of the UB-04 form are available from:
New Medical Forms
Sales & Customer Support
Email: newmedicalforms@pacbell.net
Phone: 1-877-256-0027
Website: www.newmedicalforms.com
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The Official UB-04 Data Specifications manual is available from the National Uniform Billing Committee (NUBC). Cost is $150/year for an electronic manual which is printable, as well as an electronic version with updates.
- Send your request via mail: American Hospital Association, National Uniform Billing Committee, P.O. Box 92247, Chicago, IL 60675-2247
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Although you may have a copy of NUCC's Instructions, this is an updated manual, as of July, 2008. Click on the link below, go to Section 24, pages 32 to 45, especially pages 43 to 44; NDC data goes on the top line, Item numbers 24a thru 24d.
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Uniform Billing (UB-04) Implementation
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Uniform Billing (UB-04) Implementation - UB-92 Replacement
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UB-92 and/or UB-04 Handbook for Hospital Billing
Visit: www.aha.org. Then, scroll to the bottom of page, click on AHA ONLINE STORE and search for BIRKENSHAW or BILLING in the product search box. |
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National Drug Codes (NDC) Codes will be required on UB claims when drugs given have a rebate if Medicaid is the primary or secondary payer (listed in FL 50 A or FL 50 B). On July 9, 2007 CMS' released its final rule with a comment period related to listing NDC codes on hospital outpatient claims, effective October 1, 2007. There is concern that hospitals will not be able to meet the requirements of the regulation. The attached 587-page document clarifies the ruling as well as listing names and addresses for people to write and send comments. If you are concerned, please act now!
For more information, click on the button below for the PDF document:
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Briefly, providers must obtain their NPI numbers as well as the NPI number of other providers they interact with. Providers may report the NPI as well as the legacy number, or the legacy number if working towards compliance. Up until 5/23/08, CMS will not impose penalties on covered entities that deploy contingency plans to facilitate the compliance of their trading partners. See the MedLearn Matters article and the CMS change request related to NPI.
For more information, click on the buttons below for a PDF document:
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POA indicators must be reported for inpatient acute care hospital discharges as of October 1, 2007. See below for the CMS MedLearn Matters article and the Change Request Transmittal manual.
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NDC Codes may now be required on UB claims. Please act now. On July 9, 2007 CMS' released its final rule with a comment period related to listed NDC codes on hospital outpatient claims. There is concern that hospitals will not be able to meet the requirements of the regulation.
For more information, click on the button below for a PDF article:
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In July, 2007, CMS released MedLearn Matters SE0725 with additional NPI information. They are asking providers to send a small number of claims with only the NPI.
For more information, click on the button below for the PDF article:
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Visit the National Uniform Claim Committee Website : www.nucc.org
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Visit the Washington Publishing Company Website: www.wpc-edi.com
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