Medical Billing Training — Do ASCs use CMS 1500 or UB 04 Forms

Medical Billing Training — Do ASCs use CMS 1500 or UB 04 Forms


Tonight, we have Dawn. Now, if you’ve been
on some of our past webinars, you may have met Dawn. Alicia: There she is. Boyd: Taadaa! Dawn: Hey, how are you? Boyd: We’re doing great, how are you? Dawn: Hangin’ in there. Boyd: You’re still alive and well, great.
Thanks for joining us here tonight. Dawn: Cool! Alicia: Dawn is our billing course instructor.
It’s an intense but fun course. Dawn likes to make it kind of light but there’s a lot
of information going on in the textbook that we have. We had a question come in to the
forum that it was perfect for Dawn, so we had it come in tonight regarding the 1500
forms versus the UB 04 forms. This ASCs stands for ambulatory surgery centers, if you didn’t
know. Q: The question is, Dawn: Do ASCs use the
CMS 1500 or UB 04 forms? Here’s a picture of both of those… Dawn: A: Actually, Alicia, that’s a really
good question. It’s actually a question that I once had. If you don’t do ambulatory
surgery coding, it’s not something that you would just naturally know. What all medical
billing students are taught is that inpatient billing is done on the UB 04 and outpatient
billing is done on the CMS 1500 form. So, an ambulatory surgery centers kind of in between
both of them, so what do you use? The answer is both forms are used depending on what type
of ASC you’re billing for. If the surgery center is part of the hospital,
you’re probably going to use the UB 04 form because hospitals use that form. They keep
everything standardized, it’s part of the hospital, they’ll bill on the UB 04 form.
If it’s a freestanding ambulatory surgery center not associated with the hospital, it
will probably bill out using the CMS 1500 form as to the outpatient facility would. The main difference between the UB 04 form
and the CMS 1500 form is the CMS 1500 is basically has less stuff on it, like less spaces for
stuff, because when we go to the doctor and you have an encounter there’s only so many
things that’s going to happen in that kind of a setting. Whereas, when you’re in the
hospital they’re scanning everything. They bring you a Q-tip, they’re going to scan
that thing in for $10 now on your chart; so you need a lot more spaces for everything.
That’s why the UB 04 inpatient is much more complex than the CMS 1500 form. So, basically, my long-winded answer is, if
it’s a freestanding ambulatory surgery center it will go on the CMS 1500. If it’s part
of the hospital, it will be billed on the UB 04. Also, I wanted to mention about the medical
billing course that I’m a coach or instructor for. I really like this course and the reason
is we have the textbook component, which is the best textbook in the industry. It’s
the same one the AAPC uses, so I’m expecting that our students will have absolutely no
problem passing the board exam. We didn’t put a bunch of fluff in the course where students
are doing tons and tons and tons of busy work. Adult students want to get into a course and
they want to get out of the course and they want to get a job. So, we have the textbook, we have online webinars.
There are different types of learners, some people learn by reading, some by hearing. And then I’m available, people can ask questions
too. You can leave the proper email address; they can forward on to me any students or
people out there that have questions about the billing course. You can give the email
address that you want them to have, and then I know what’s our helpdesk address, but
I don’t remember off the top of my head. Boyd: [email protected] Dawn: Yeah. Email that if you have any questions
about our billing course and I’ll be happy to help you and answer any questions you might
have. Briefly, the course takes about 12 weeks, so in three months you can start a whole new
career. In my opinion, there’re very few things you can do in this work, you train
for for 12 weeks and get out make good money. Alicia: True, this is one. Dawn: Yes, it is. With the new ObamaCare legislation
and more people accessing healthcare, there’s a need now for medical billers. Alicia: I would mention too and Dawn can correct
me if I’m wrong, but it’s a lot easier to get a job as a biller than it is a coder. Dawn: Yes. Alicia: There’s a little bit more of a turnover
rate, there’s just more jobs available. There’s more billers out there needed. So,
that is something that if you’re wanting to get your foot in the door quickly, you
might go ahead and make sure that you have that knowledge in billing. A lot of people
start out in billing and then transfer into the coding when they get their coding certification.
They’re kind of sisters in the field. Wouldn’t you say that, Dawn? Dawn: I agree Alicia, and every single one
of my billing students ask me the same question: should I learn medical coding? My answer is
always yes. Coding and billing go hand-in-hand; if you learn one, you just go ahead and train
into the other. Plus the fact either one is going to require continuing that out. Alicia: That’s right. Dawn: So, if you take the billing course and
you pass the board exam, you’re going to need to continue, go take a coding course,
learn that too, and you’re even more qualified and vice versa. Alicia: Right. Dawn: Yeah. Alicia: Those CEUs you get for each course
will correspond for the other, so that’s fantastic. Again, like Dawn said if you have
questions in our forum, you can come there and ask them, with lots of people who are
new, or what will be a word for – if you’ve been doing it a long time that sounds nice. Boyd: Seasoned. Alicia: Seasoned! Oh, there you go veteran,
seasoned. OK, we’ve got lots of veterans and seasoned coders and billers in there,
they can answer your questions, and we learn from you guys as well. So, I really appreciate
you Dawn for coming in and talking about that, taking some time out of your night. Dawn: Thanks for having me, I appreciate it. Alicia: When you go in and take that course,
it’s exciting and fun, and they go through it really quick. So, you don’t have to worry
about it being adult. Dawn: Yeah. I don’t like people to get lost
in my course. That’s the one thing that… Alicia: That’s true. Dawn: I really do. If you have too much content
in a course, too much material, too much for the adults going to do; these people have
jobs, spouse or kids, they get lost in it and will drop out and quit. I don’t like
that, so when we created this, we gave enough content but you know I said cut out all busy
work. I don’t want to include the workbook. Alicia: Right. Dawn: I don’t want to include all these
strenuous stuff. They got what they need; they’ll pass the exam, and they’ll work. Alicia: Yup! Thank you Dawn. Boyd: Thanks Dawn for coming.

4 thoughts to “Medical Billing Training — Do ASCs use CMS 1500 or UB 04 Forms”

Leave a Reply

Your email address will not be published. Required fields are marked *