Facilities can use this reference tool daily to manage the constant changes to the Medicare billing and reimbursement process.
The Uniform Billing Editor provides detailed, accurate, and timely information about Medicare and UB-04 billing rules and assists the user with 5010 data, UB-04 and 837i requirements.
Key features and benefits of this updateable product:
- 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.
- 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 Level II codes.
- Crosswalk to 837 institutional claims. Provides links to 837i 4010 and 5010 data elements and any applicable billing rules — facilitating easier transition to the 837i.
- 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.
- Includes 5010 standards and provides detailed, accurate, and timely information about Medicare billing and reimbursement.
- OCE and MCE edits. Identify data inconsistencies, potential rejections, and denials through OCE and MCE edits.
- Extended Tabs. Tabs to strategically place in sections throughout your updateable, printed text and binder.
- Timely updates throughout the year. Stay current with changes with pages provided to insert into your printed products to provide the most current information available to help you eliminate billing with outdated information. (Product is typically updated each quarter throughout the year).
More Appendixes. These resources now include:
- Numeric list of revenue codes
- CPT and HCPCS list with suggested revenue code(s)
- HCPCS Device code usage guidelines
- Modifiers for facility coding
- SNF consolidated exclusions/inclusions and more.
- Even more appendixes now accesssible via the Optum Coding product update page.
CPT is a registered trademark of the American Medical Association.