Easily Insert Surname Field from the Patient Discharge Form

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How to Insert Surname Field from the Patient Discharge Form

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[Music] hey guys so we are going to learn now about how to use form elements in Microsoft Word the first thing that you need to do is make sure that you have your Developer tab enabled if you do not see this Developer tab let me show you how to enable it okay so anywhere in your ribbon where theres a bit of space you can right click and say customize of the ribbon customize the ribbon and if you look on the right-hand side youll see all the various tabs that we have available developer will be one of those tabs you will probably see it like that where it will not have a tick next to it just put a tick next to it to developer and click OK alright so right click the ribbon and customize the ribbon okay if you forget about right-clicking the ribbon just go file and options and customize ribbon there it is there file options customize a ribbon or just right click ok so lets have a look at what we going to do here were going to use for this first part of the video we can use whats call

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What goes in box 38 on a UB04?

38. Responsible Party Name and Address Enter the responsible party name and address.

What are the fields of UB-04?

You may be wondering, What does UB-04 mean? Simply put, this form can be used by any institutional provider for billing medical and mental health claims. This uniform billing form was created by The Centers for Medicare and Medicaid (CMS) to be used by institutional providers for claim billing.

What is field 17 on a UB04?

17. * Patient Status Enter the 2-digit patient status code that best describes the patients discharge status. 05-Discharged/transferred to another type of institution for inpatient care or referred for outpatient services to another institution.

What goes in box 57 on UB04?

57 Other Provider IdentifierBilling Provider Not Required The unique provider identifier assigned by the health plan is reported in this field.

What is fl 17 patient discharge status?

Medicare requires that when discharging a patient from an inpatient stay, the discharging facility reports the discharge disposition in the Patient Discharge Status field (FL 17). The claim must include the discharge status code that most accurately reflects the discharge of the patient.

What goes in box 18 on a UB04?

Condition codes are a 2-digit numerical or alphanumeric representation of aspects of a patient, services provided, the type of service venue, and/or billing situations that can impact the processing of an institutional claim by a payer. These codes are listed in boxes 18-28 on the UB04 form.

What is field 16 on UB04?

16. Discharge Hour Enter the hour (using a two-digit code below) that the patient entered the facility.

What is Box 39 on UB04?

Box 39-41; a-d Value codes and amounts: (Optional) Use these locators to indicate codes and amounts essential to the proper adjudication of the submitted claim. Each form locator contains a three digit field in which to key the indicator code, and a larger free text field in which to designate an applicable amount.

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