sample hospital bill template

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now, if you’ve been on some of our past webinars, you may have met dawn. dawn: hey, how are you? dawn: hangin’ in there. alicia: dawn is our billing course instructor. dawn likes to make it kind of light but there’s a lot of information going on in the textbook that we have.

q: the question is, dawn: do ascs use the cms 1500 or ub 04 forms? what all medical billing students are taught is that inpatient billing is done on the ub 04 and outpatient billing is done on the cms 1500 form. if the surgery center is part of the hospital, you’re probably going to use the ub 04 form because hospitals use that form. the main difference between the ub 04 form and the cms 1500 form is the cms 1500 is basically has less stuff on it, like less spaces for stuff, because when we go to the doctor and you have an encounter there’s only so many things that’s going to happen in that kind of a setting. so, basically, my long-winded answer is, if it’s a freestanding ambulatory surgery center it will go on the cms 1500. if it’s part of the hospital, it will be billed on the ub 04. also, i wanted to mention about the medical billing course that i’m a coach or instructor for. we didn’t put a bunch of fluff in the course where students are doing tons and tons and tons of busy work.

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