We got an email from someone today that shows there is a lot of questions yet on billing for clinics. The lady was trying to get reimbursed for services she paid for on her daughter for drug rehabilitation. The claims were denied because they were not filed on UB04 forms. The facility told her that they bill only on CMS 1500 forms.
If the clinic is credentialed as a facility then the billing must be done on the UB04 forms. I think because they are unfamiliar to most offices, the clinics just do not want to have to learn to use them. But unfortunately, they are loosing money by not filing on the correct forms. They are a little more complicated than the CMS forms, but unfortunately they are necessary for payment.
We've just added a page to our website on facility billing. If you have any more questions on billing on UB04 forms, visit our facility billing page.
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