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Table of Contents

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Program Details

PART 1: THE HOSPITAL BILLING ENVIRONMENT

Chapter 1: Introduction to Hospital Billing

Chapter 2: The Hospital Billing Process

Chapter 3: Hospital Insurance

Chapter 4: Medical Coding Basics

Chapter 5: Payment Methods and Billing Compliance

PART 2: THE UB-04 CLAIM FORM

Chapter 6: Overview of the UB-04 Claim Form

Chapter 7: Provider Information

Chapter 8: Patient Information

Chapter 9: Condition Codes

Chapter 10: Occurrence Codes/Dates

Chapter 11: Value Codes and Amounts

Chapter 12: Revenue Codes, Descriptions, and Amounts

Chapter 13: Payer, Insured, and Employer Information

Chapter 14: Diagnosis and Procedure Codes

Chapter 15: Physician Information, Remarks, and Code-Code Field

PART 3: SIMULATION

Chapter 16: The UB-04 Form Filler

Chapter 17: Case Studies

Appendix A: UB-04 Form Completion Tables

A-1: UB-04 Form Locators

A-2: Type of Bill Codes

A-3: Occurrence Codes and Dates

A-4: Value Codes

A-5: Revenue Codes: Numerical Order

A-6: Revenue Codes: Alphabetic Order

Appendix B: Comparing the Old and New Claim Forms

B-1: A Comparison of the UB-92 and the UB-04

Abbreviations

Glossary

Index

Appendix C: Blank UB-04 Forms