Wiki Hcfa vs ub claims

[1CodingTeam24]

When billing out a facility claim but the professional claims is being billing out of the doctors office. Are there any guidelines as to if both claims have to match exactly or can a facility provider bill all lines on there facility claim even if they are not being billed out on the professional claim?

Thanks

 

[CodingKing]

CMS-1500 & UB-04 wont always match completely, For instance E&M leveling is different for physician than Facility. Facility also includes items such as drugs and supplies that aren't reportable by the physician.

 

[1CodingTeam24]

Ok. Thanks that helps us out alot.. Is there any guidelines to how many procedures can be billed out on a facility claim if all are done in one session? Im mainly referring to non cms payors.