Facilities can use this reference tool daily to manage the constant changes to Medicare billing and reimbursement. The Uniform Billing Editor provides detailed, accurate and timely information about Medicare and UB-04 billing rules and prepares the user for UB-04 and 837i requirements that will have to be met in the future transition. This is an essential tool for revenue cycle management..
Features & Benefits:
- Quickly Link HCPCS and CPT® Codes to Applicable Revenue Codes. This crosswalk helps you to prevent the most common reasons for rejections—mismatched revenue codes and CPT® or HCPCS codes.
- Crosswalk to 837 Institutional Claims. Provides link to 837 institutional claim data elements and any applicable billing rules—facilitating easier transition to the 837i.
- Crosswalk to UB-04 Information. Provides a crosswalk from UB-92 to UB-04 information and includes billing and coding tips.
- Quickly Locate Topics Based on Field Locators, Revenue Codes or Coding Structures. This easy-to-use format is fully indexed and tabbed with icons for quick reference.
- Coding and Billing Tips with Quick Access to Official Sources. Submit claims to Medicare accurately the first time—to help you reduce claim delays and denials.
- OCE and MCE Edits. Identify data inconsistencies, potential rejections and denials through OCE and MCE edits.
- Timely Updates throughout the Year. Stay current with changes to help you eliminate billing with outdated information and to help you improve the overall revenue stream.
- Exclusive to the eBook: Revenue Cycle Management Guide. Tips and recommendations for the roles and responsibilities of each department for successful revenue cycle management.
- Easy-to-Load CD. Search the CD to help improve the accuracy of your inpatient and outpatient claim submission.
- Earn 1 Continuing Education Unit Per Scenario from the American Academy of Professional Coders.
- CPT® is a registered trademark of the American Medical Association.
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