Sarudza Rudzi rweBill Codes
Mhando yebhadhiti nhamba idzi nhatu-nhamba dzemitemo dziri paBB-04 chimiro chekufananidzira chinotsanangura rudzi rwebhorodhi mupiro ari kuzviisa kune mubhadha, seMedicaid kana kambani yveshuwarenzi. Iyi code inodiwa pamutsara 4 weB-04.
Chidimbu chimwe nechimwe chine chinangwa chairo uye chinodikanwa pane zvose zvinotaurwa naBU-04 munharaunda yemunda 4. Ngatitsvakei mienzaniso yemitemo yebhadharo uye tarisai kuti chidimbu chimwe nechimwe chinorevei uye kuti ndeapi maitiro akafanana.
Nhamba idzi dzinoparidzirwa muNational Uniform Billing Committee (NUBC) mirayiridzo. Tarisa bhuku razvino rekushandura kana kuchinja.
Mienzaniso yeBill Types
Heano mienzaniso yemhando dzebhadhiro dzematare uye zvavanoreva.
- Rudzi rweBill 111 rinomirira Chipatara Inpatient Claim ichiratidza kuti nguva yekutora inobvumidza kubvuma kuburikidza nekubuda kwemurwere.
- Rudzi rweBill 117 rinomiririra Chipatara Chirwere Chinoshandiswa kana kuti Chirongwa chechipatara chakambotumirwa chipatara chinenge chabhadharwa kuitira kuti mubhadhadzi aite zvekupomerwa.
- Rudzi rweBill 138 rinomirira Chipatara Chipatara Chero kana Kuti Chikwata chePamberi Chikumbiro chechipatara chakarembwa chichirembera chibhadharo chakabhadhara kuitira kuti mubhadhadzi adzorere zvakare kubhadhara kwakaitwa.
- Rudzi rweBill 831 rinomiririra Chipatara Chirwere Chirwere chinowanikwa muAmbulatory Surgical Center. Nekuvhiya kwekunze kunze kwakaitwa muChipatara, rudzi rwemutemo huchava 131 pane 831.
Chokutanga Digit yeBill Type Code-Type Facility
Iyo nhamba yekutanga inoreva rudzi rwechinzvimbo.
1 - Chipatara
2 - Nursing Skilled
3 - Musha Utano
4 - Chitendero Chisingabatsiri Utano Hwezvipatara (Chipatara)
5 - Zvitendero Zvisingabatsiri Zvehutano (Facility Extended Care)
7 - Clinic
8 - Specialty Facility, Hospital Hospital ASC Surgery
Second Digit yeBill Type Code
Icho chidimbu chechipiri chinomiririra chinoenderana nendima yekutanga. Iine sarudzo yakasiyana yezvinoreva makiriniki uye zvivako zvakakosha.
Chipiri chechipiri chinoreva kushambadzira kwemari kunze kwemakiriniki uye zvivako zvakakosha.
Kana iyo nhamba yekutanga iri 1-5, ipapo nhamba yechipiri ndeyekuti:
1 - Inpatient ( Medicare Chikamu A )
2 - Inpatient ( Medicare Chikamu B )
3 - Kurapa
4 - Zvimwe (Medicare Part B)
5 - Nhamba I Inyanzvi Yomukati
6 - Nhanho II Inyanzvi Yechirwere
7 - Subacute Inpatient (kushandiswa neRevenue Code 019X)
8 - Swing Bed
Kumakliniki chete:
Kana iyo nhamba yekutanga inomwe, ipapo chipiri chepiri ndechekuti:
1 - Kumaruwa Utano Clinic
2 - Chipatara chakachengetedzwa kana kuti Independent Renal Dialysis Facility
3 - Sangano Rinofanirwa Nezvehutano (FQHC), Free Providing Provider-Based
4 - Chimwe Chiteshi chekudzivirira (ORF)
5 - Chirongwa chakakwana chekudzorerazve kunze (CORF)
6 - Community Mental Health Center (CMHC)
Kune Zvimwe Zvivako Zvimwechete:
Kana chiyero chekutanga chiri 8, ipapo chikamu chechipiri ndechekuti:
1 - Nonhospital Based Hospice
2 - Hospital Based Hospice
3 - Chibvumirano Chekuvhiya Chipatara kuVirwere Vachipatara
4 - Chimwe Chiteshi chekudzivirira (ORF)
5 - Chirongwa chakakwana chekudzorerazve kunze (CORF)
6 - Community Mental Health Center (CMHC)
Chechitatu Digit yeBill Type Code-Frequency
Nhamba yechitatu inoreva kuwanda.
0 - Kusabhadhara kana Zero Mhosva
1 - Bvuma kuburikidza neDownload Reve
2 - Mukati (Wokutanga Kuda)
3 - Kupindira (Kuenderera mberi Kudai)
4 - Mukati (Kupedzisira Kuda)
5 - Zuva rekutengesa chete
7 - Kudzorerwa kwePamberi Kutaura kana Kurairirwa Kwemhosva
8 - Chero kana Kuraira kwePamberi Kutora
9 - Kupedzisira Kuda Kwemusha weP Health PPS Chikamu
Mhando dzeZvashoni Uchishandisa UB-04
Zvivako zvinoshandisa fomu yeBB-04 inosanganisira:
- Community Mental Health Center
- Yakakwana kunze kwekugadziriswa kwekugadzirisa nzvimbo
- Critical Access Hospital
- End-Stage Renal Disease Facility
- Federally Inofanirwa Health Centre
- Histocompatibility Laboratory
- Home Health Agency
- Hospice
- Chipatara
- Indian Health Services Facility
- Organ Procurement Organization
- Outpatient Physical Therapy Services
- Occupational Therapy Services
- Hurukuro Inharaunda Mabasa
- Chitendero Chisina Utano Utano Hwokugadziriswa
- Rural Health Clinic
- Skilled Nursing Facility
Corrected Claims
Paunenge uchiita kuchinja kune zvataurwa kare zvakabhadharwa, mhinduro dzakawanda dzinogadziriswa dzinogona kutumirwa pakombiyuta.
1. Ongorora Claim Frequency Code ne: 7 = Kuchinja kwepakutanga kudai 8 = Kuvhara / kubvisa chirevo chekutanga
2. Tumira mutsara uchishandisa DCN (nhamba yekudzivirira nhamba) kana ICN (mukati rekuverenga nhamba) kubva kutsanangudzo yekubhadhara mubhadha (EOP) kana kubhadhara magetsi .
3. Kana iwe uchifanira kuisa mhinduro yakagadziriswa pamapepa, iva nechokwadi chokuti mafaira acho akarurama. Vamwe vanobhadhara vanobvuma mifananidzo yakatsva-ne-nyeredzi yemitemo yezvokurapa asi zvakanakisisa ndechokuisa iyo yepakutanga yakatsvuka-uye-white version. Zvichienderana nezvinobhadhara, apo chimiro chokutanga chekutsvaga chisina kushandiswa, kudai hakungapindi muitiro yavo zvakanaka kugadzira kunonoka kana kuramba kubhadhara.
Pfungwa dzinokosha pakuzadzisa zvirevo izvi dzinosanganisira:
- Iva nechokwadi chokuti mupiritori akabatanidzwa zvakanaka kuti ave nechokwadi chokuti ruzivo rwakadhindwa munzvimbo dzakakodzera nzvimbo.
- Usataurira chero ruzivo rwehutano.
- Usanyora zvinyorwa pamusoro pomufananidzo wakadai se "Corrected Claim" kana "EOB Akabatanidzwa."
- Usaisa zvinyorwa, matampu, matepi, manotsi, mapikicha kana chimwe chinhu kune mafomu ekutsvaga.
Pasi pepamusoro paBill Codes dzeFomu yeB claim yaB-04
Izwi iri pamusoro apa rinotsanangura chinangwa chezvino chega rega yega ma nhamba ma 3 pane fomu yeBB-04. Aya mashoko anoenderana nekuchinja uye kuongororwa, asi kuchinja kupi kunogona kuwanikwa muNational Uniform Billing Committee (NUBC) mirayiridzo.
Nhamba idzi dzinoparidzirwa muNational Uniform Billing Committee (NUBC) mirayiridzo. Tarisa bhuku razvino rekushandura kana kuchinja.
> Kwakabva:
> National Uniform Billing Committee. Yepamutemo UB-04 Dheinitiro Dheji Dheji Bhuku 2016. http://www.nubc.org/subscriber/PDFs/UB042016TOC.pdf