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UB-04 Handbooks

UB-04 Handbook for Hospital Billing, With Answer Key: A Reference and Training Tool for Efficient Operations in Health Care Facilities

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 teaches 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.The book contains an overview of basic payment methodologies, plus 65 quizzes that can be used for self-testing, for performance evaluations or classwork assignments.

This book will help hospitals and other health care providers maximize claim processing performance and revenue recovery and better manage their revenue cycle process.

AHA Order Number 061177
ISBN: 978-1-55648-346-2
Member Price: $109.00 Each
Non-member Price: $125.00 Each
Click here for more information and to order

UB-04 Handbook for Hospital Billing, without Answer Key: A Reference and Training Tool for Efficient Operations in Health Care Facilities

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 teaches 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.The book contains an overview of basic payment methodologies, plus 65 quizzes that can be used for self-testing, for performance evaluations or classwork assignments.

This book will help hospitals and other health care providers maximize claim processing performance and revenue recovery and better manage their revenue cycle process.

AHA Order Number 061178
ISBN: 978-1-55648-347-3
Member Price: $99.00 Each
Non-member Price: $110.00 Each
Click here for more information and to order

Billing Forms

 

UB-04 Hospital Laser 2500

The UB-04 (aka CMS-1450) claim form is scheduled for implementation beginning March 1, 2007. The UB-04 is used by institutional providers (hospitals, skilled nursing facilities, home health, hospital-based clinics, etc.) to bill third-party insurers as well as government programs such as Medicare, Medicaid, and state Workman’s Compensation. The design of the UB-04 form is approved by the National Uniform Billing Committee (NUBC). The form complies with all government specifications for paper, ink, and layout as indicated by the registered License number. The form comes in single or multiple parts and is available in laser, continuous feed or snap-apart formats. We offer competitive prices and fast delivery from various regional warehouses. Please contact our Customer Services Department at (800) 242-2626 for information on quantity discounts.

UB-04 Laser Cut sheet (QTY per carton = 2,500)

Catalog No: 040
Member Price: $46.00 Each
Non-member Price: $56.00 Each
Click here for more information and to order

 

UB-04 Hospital 1-Part Continuous 2500

The UB-04 (aka CMS-1450) claim form is scheduled for implementation beginning March 1, 2007. The UB-04 claim form is used by institutional providers (hospitals, skilled nursing facilities, home health, hospital-based clinics, etc.) to bill third-party insurers as well as government programs such as Medicare, Medicaid, and state Workman’s Compensation. The design of the UB-04 form is approved b the National Uniform Billing Committee (NUBC). The form complies with all government specifications for paper, ink, and layout as indicated by the registered License number. The form comes in single or multiple parts and is available in laser, continuous feed or snap-apart formats. We offer competitive prices and fast delivery from various regional warehouses. Please contact our Customer Services Department at (800) 242-2626 for information on quantity discounts.

UB-04 1-Part Continuous (QTY per Carton =2,500)

Catalog No: 041
Member Price: $46.00 Each
Non-member Price: $56.00 Each
Click here for more information and to order

 

UB-04 Hospital 2-Part Continuous 1000

The UB-04 (aka CMS-1450) claim form is scheduled for implementation beginning March 1, 2007. The UB-04 claim form is used by institutional providers (hospitals, skilled nursing facilities, home health, hospital-based clinics, etc.) to bill third-party insurers as well as government programs such as Medicare, Medicaid, and state Workman’s Compensation. The design of the UB-04 form is approved b the National Uniform Billing Committee (NUBC). The form complies with all government specifications for paper, ink, and layout as indicated by the registered License number. The form comes in single or multiple parts and is available in laser, continuous feed or snap-apart formats. We offer competitive prices and fast delivery from various regional warehouses. Please contact our Customer Services Department at (800) 242-2626 for information on quantity discounts.

UB-04 2-Part Continuous (QTY per Carton =1,000)

Catalog No: 042
Member Price: $46.00 Each
Non-member Price: $56.00 Each
Click here for more information and to order

 

UB-04 Hospital 3-Part Continuous 1000

The UB-04 (aka CMS-1450) claim form is scheduled for implementation beginning March 1, 2007. The UB-04 claim form is used by institutional providers (hospitals, skilled nursing facilities, home health, hospital-based clinics, etc.) to bill third-party insurers as well as government programs such as Medicare, Medicaid, and state Workman’s Compensation. The design of the UB-04 form is approved b the National Uniform Billing Committee (NUBC). The form complies with all government specifications for paper, ink, and layout as indicated by the registered License number. The form comes in single or multiple parts and is available in laser, continuous feed or snap-apart formats. We offer competitive prices and fast delivery from various regional warehouses. Please contact our Customer Services Department at (800) 242-2626 for information on quantity discounts.

UB-04 3-Part Continuous (QTY per Carton =1,000)

Catalog No: 043
Member Price: $78.00 Each
Non-member Price: $98.00 Each
Click here for m ore information and to order

 

UB-04 Hospital 4-Part Continuous 500

The UB-04 (aka CMS-1450) claim form is scheduled for implementation beginning March 1, 2007. The UB-04 claim form is used by institutional providers (hospitals, skilled nursing facilities, home health, hospital-based clinics, etc.) to bill third-party insurers as well as government programs such as Medicare, Medicaid, and state Workman’s Compensation. The design of the UB-04 form is approved b the National Uniform Billing Committee (NUBC). The form complies with all government specifications for paper, ink, and layout as indicated by the registered License number. The form comes in single or multiple parts and is available in laser, continuous feed or snap-apart formats. We offer competitive prices and fast delivery from various regional warehouses. Please contact our Customer Services Department at (800) 242-2626 for information on quantity discounts.

UB-04 4-Part Continuous (QTY per Carton = 500)

Catalog No: 044
Member Price: $46.00 Each
Non-member Price: $56.00 Each
Click here for more information and to order

 

UB-04 Hospital 5-Part Continuous 500

The UB-04 claim form is scheduled for implementation beginning March 1, 2007. The UB-04 claim form is used by institutional providers (hospitals, skilled nursing facilities, home health, hospital-based clinics, etc.) to bill third-party insurers as well as government programs such as Medicare, Medicaid, and state Workman’s Compensation. The design of the UB-04 form is approved b the National Uniform Billing Committee (NUBC). The form complies with all government specifications for paper, ink, and layout as indicated by the registered License number. The form comes in single or multiple parts and is available in laser, continuous feed or snap-apart formats. We offer competitive prices and fast delivery from various regional warehouses. Please contact our Customer Services Department at (800) 242-2626 for information on quantity discounts.

UB-04 5-Part Continuous (QTY per Carton =500)

Catalog No: 045
Member Price: $60.00 Each
Non-member Price: $70.00 Each
Click here for more information and to order

 

CMS-1500 (08/05) 1-Part 2500

The CMS-1500 (version approved 08/05) claim form was redesigned to handle the National Provider Identifier (NPI). The CMS-1500 is used by physicians and durable medical equipment suppliers to bill third-party insurers as well as government programs such as Medicare and Medicaid. The form complies with all government specifications for paper, ink, and layout of the CMS-1500 as determined by the National Uniform Claim Committee (NUCC). The form comes in single or multiple parts and is available in laser or snap-apart formats. We offer competitive prices and fast delivery from various regional warehouses. Please contact our Customer Services Department at (800) 242-2626 for information on quantity discounts.

CMS-1500 (08/05) 1-Part (QTY per Carton=2,500)

Catalog No: CMS1
Member Price: $45.00 Each
Non-member Price: $55.00 Each
Click here for more information and to order

 

CMS--1500 (08/05) 2-Part 1000

The CMS-1500 (version 08/05) claim form was redesigned to handle the National Provider Identifier (NPI) and is used by physicians and durable medical equipment suppliers to bill third-party insurers as well as government programs such as Medicare and Medicaid. The form complies with all government specifications for paper, ink, and layout of the CMS-1500 as determined by the National Uniform Claim Committee (NUCC). The form comes in single or multiple parts and is available in laser or snap-apart formats. We offer competitive prices and fast delivery from various regional warehouses. Please contact our Member and Customer Services Department at (800) 242-2626 for information on quantity discounts and standing purchase orders.

CMS-1500 (08/05) 2-Part (QTY per Carton=1,000)

Catalog No: CMS2
Member Price: $45.00 Each
Non-member Price: $55.00 Each
Click here for more information and to order

 

CMS-1500 (08/05) 2-Part Snap-Out 1000

The CMS-1500 (version 08/05) claim form was redesigned to handle the National Provider Identifier (NPI) and is used by physicians and durable medical equipment suppliers to bill third-party insurers as well as government programs such as Medicare and Medicaid. The form complies with all government specifications for paper, ink, and layout of the CMS-1500 as determined by the National Uniform Claim Committee (NUCC). The form comes in single or multiple parts and is available in laser or snap-apart formats. We offer competitive prices and fast delivery from various regional warehouses. Please contact our Customer Services Department at (800) 242-2626 for information on quantity discounts.

CMS-1500 (08/05) 2-Part Snap (QTY per Carton=1,000)

Catalog No: CMSSO
Member Price: $55.00 Each
Non-member Price: $65.00 Each
Click here for more information and to order

 

CMS-1500 (08/05) Laser 2500

The CMS-1500 (08/05) claim form was redesigned to handle the National Provider Identifier (NPI) and is used by physicians and durable medical equipment suppliers to bill third-party insurers as well as government programs such as Medicare and Medicaid. The form complies with all government specifications for paper, ink, and layout of the CMS-1500 as determined by the National Uniform Claim Committee (NUCC). The form comes in single or multiple parts and is available in laser or snap-apart formats. We offer competitive prices and fast delivery from various regional warehouses. Please contact our Customer Services Department at (800) 242-2626 for information on quantity discounts.

CMS-1500 (08/05) Laser (QTY per Carton=2,500)

Catalog No: CMSL
Member Price: $55.00 Each
Non-member Price: $65.00 Each
Click here for more information and to order


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