UB-04 will replace UB-92 for inpatient paper claim forms

Switch from UB-92 to UB-04 Paper Forms by May 23, 2007

The Centers for Medicare & Medicaid Services (CMS) announced that all providers who bill Medicare fiscal intermediaries, including regional home health intermediaries, using the UB-92 paper form must begin using the new paper form (UB-04) by May 23, 2007. CMS will no longer accept the UB-92, even as an adjustment claim, after May 22. Providers may begin using the new form on March 1.

The UB-04, which is only accepted from institutional providers that are excluded from the mandatory electronic claims submission requirements, incorporates the National Provider Identifier, taxonomy and additional codes. While most of the data-usage descriptions and allowable data values have not changed on the UB-04, many UB-92 data locations are different. In addition, bill-type processing will change. Providers are encouraged to ensure that their billing staffs are aware of this new, uniform, institutional provider bill form for paper claims.

About the Author

Reed Tinsley CPA

This article is written by Reed Tinsley, a Houston, TX-based CPA with over 30 years of experience advising physicians and medical practices across Texas and the United States. Reed holds certifications as a Certified Valuation Analyst (CVA), Certified Healthcare Business Consultant (CHBC), and Certified Financial Planner (CFP), specializing exclusively in the healthcare sector. He is a published author, nationally recognized speaker, and trusted advisor to physicians on accounting & tax, practice management, and financial planning. Schedule a Free Consultation.