CMS 1500 and UB-04 Claim Form Top Billing Errors - Blue-2025

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the cms 1500 paper claim was designed to accommodate optical scanning of claims Preview on Page 1

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The UB-04 (CMS-1450) form is the claim form for institutional facilities such as hospitals or outpatient facilities. This would include things like surgery, radiology, laboratory, or other facility services. The HCFA-1500 form (CMS-1500) is used to submit charges covered under Medicare Part B.
Lets look at these common mistakes. Service coding is inaccurate or not specific enough. Codes were misused. The claim wasnt filed on time. Patient information isnt accurate or is missing. The ICD-10 code is missing or inaccurate. Service provider information missing.
Institutional healthcare providers, such as hospitals, nursing facilities, dialysis centers, home health agencies, hospice providers, PRTFs, swing-bed facilities, all use the UB-04 claim form to bill inpatient and outpatient services and submit claims for reimbursement to insurance companies and other payers.
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