Good morning everyone,
I'm new to coding/billing in general, and am looking for an answer to what probably amounts to a very basic question.
I'm trying to determine the difference between the CMS-1500 and UB-04 forms and under which circumstances you should use one over the other. My current understanding is that the CMS-1500 are used for billing physician's services, where as the UB-04 are used for billing facility charges (in an ASC for example).
Currently, we bill both our physicians services and our ASC facility charges on a 1500 form, and everything seems to be fine. I'm trying to figure out of there is a benefit to billing on a UB-04 for the ASC, instead of using the 1500? My initial guess is that we can bill for HCPCS-II codes on a UB, whereas we cannot do so on a 1500?
Also, on a semi-unrelated note, can anyone point me to a nice training manual for coding/billing in general? The experience I have now is based on my work experience, which results in a lot of 'the way we've always done it' knowledge, and I feel like I am missing some pertinent basic information. I purchased a few of the study guides from AAPC, such as their CASCC, but found they assume a higher level of experience than I currently have. I'm hoping I can find a nice comprehensive manual that will take me from step 1 of layman through becoming proficient and knowledgeable on the subject.
Thanks for your help!
I'm new to coding/billing in general, and am looking for an answer to what probably amounts to a very basic question.
I'm trying to determine the difference between the CMS-1500 and UB-04 forms and under which circumstances you should use one over the other. My current understanding is that the CMS-1500 are used for billing physician's services, where as the UB-04 are used for billing facility charges (in an ASC for example).
Currently, we bill both our physicians services and our ASC facility charges on a 1500 form, and everything seems to be fine. I'm trying to figure out of there is a benefit to billing on a UB-04 for the ASC, instead of using the 1500? My initial guess is that we can bill for HCPCS-II codes on a UB, whereas we cannot do so on a 1500?
Also, on a semi-unrelated note, can anyone point me to a nice training manual for coding/billing in general? The experience I have now is based on my work experience, which results in a lot of 'the way we've always done it' knowledge, and I feel like I am missing some pertinent basic information. I purchased a few of the study guides from AAPC, such as their CASCC, but found they assume a higher level of experience than I currently have. I'm hoping I can find a nice comprehensive manual that will take me from step 1 of layman through becoming proficient and knowledgeable on the subject.
Thanks for your help!