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You are here > Home > Reading Lists > Finance & Billing > UB-04 Handbook for Hospital Billing: A Reference and Training Tool for Efficient Operations in Health Care Facilities

UB-04 Handbook for Hospital Billing: A Reference and Training Tool for Efficient Operations in Health Care Facilities
(formerly titled UB-92 Handbook for Hospital Billing)
American Hospital Association; Claudia Birkenshaw

With Answer Key
Softbound: 491 pages
Size: 11" x 8.5"
ISBN 1556483627
978-1556483622
Health Forum / AHA
June 2009
(click below for the best currently available price for this important resource)

Without Answer Key
Softbound: 456 pages
Size: 11" x 8.5"
ISBN 1556483635
978-1556483639
Health Forum / AHA
June 2009
(click below for the best currently available price for this important resource)

Provides critical UB-04 training and serves as a reference for coders, billers, auditors, and accounting staff who have the responsibility for preparing and reviewing accurate documents for claims submission.

The Handbook can reduce revenue loss and speed up claims processing to payers by increasing the level of knowledge between coders, billers and everyone else involved in the revenue cycle. It teaches individuals how to complete a facility UB-04 billing form, and contains vignettes that explain the billing office process, its components and reporting nuances. Readers who follow the identified steps can significantly reduce the data rework on print and electronic form submissions and increase the speed and acceptance of claims. Hospitals and other care providers can maximize claim processing performance and revenue recovery and improve their revenue cycle.

The first textbook that helps HIM professionals and students understand the differences between the UB-04 and the UB-92 and provides a global view of how the billing function should work in conjunction with the coding department. The Handbook provides accurate and timely information about the UB-04 and explains how and why ICD-9, CPT and HCPCS code conventions must be integrated with UB-04, HCFA-1450 and CMS-1450 billing conventions.

The book can be used to teach an individual how to complete a facility UB-04 billing form, and contains vignettes that explain the billing office process, its components and reporting nuances. It will help HIM staff understand that coding conventions for billing are as important as ICD-9 coding conventions when sending a claim to an insurance company or payer and ensure that members of other departments (e.g., accounting, admitting, quality management) understand how their indispensable contributions to the revenue cycle must be translated by billers to fit changing UB-04 Form Locator codes.

Recommended by the American Hospital Association, this handbook provides a global view of how the billing function works in a hospital environment and instructs readers how to complete coding in Form Locator boxes, how to comprehend the numerous coding choices available, and how they may correctly decipher the options.

This is the only book published in cooperation with the National Uniform Billing Committee. It is the definitive reference and training book for patient accounting departments in hospitals and health care facilities. The book is filled with text boxes that offer clarifications on key points, vignettes that explain how the billing office process works, overviews of basic payment methodologies, and quizzes with answers that can be used for self-testing or administered for performance evaluations or class work assignments.

"Finally, a clear and concise guidebook for the difficult and confusing world of hospital billing....works equally well as a teaching tool for new billers or a reference guide for experienced ones." --Hugh Rose, Corporate Treasurer, Palos Community Hospital, Palos Heights, IL

"Great billing office resource...right on target. An excellent training tool for academic settings and provider billing offices! Working in conjunction with the UB-04 Manual, this text simplifies the complexities of facility billing and provides a back to basics approach for...future and established billers." --Glenn A. Fosdick, President and CEO, The Nebraska Medical Center, Omaha, NE

"I enjoyed this book and strongly recommend it. All of us...need to continue educating ourselves on issues...related to billing, coding, and reimbursement conventions." --Christine Parniske, Director, Patient Financial Services, Port Huron Hospital, Huron, MI

"This handbook is an important first step in accelerating knowledge and understanding in this critical arena. As chairman of the NUBC, I am pleased to support this publication because it recognizes the importance of education in the preparation of the UB." --George S. Arges, Chairman, National Uniform Billing Committee

Please remember that the government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.

(information provided by the publisher)

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