A code indicating the point of patient origin for this admission. What would be the implications if a vendor choose not to send a specific hcos quarterly dataset by the submission deadline due to. The patient is then transported to the hospitals nursery for admission as an inpatient. The iamhp comprehensive billing manual the manual is designed to provide support and guidance to contracted. The ub04 claim form is used to submit claims for inpatient and outpatient services by institutional facilities. California division of workers compensation medical. Updated versions of this instruction manual are released each july. Hospital discharge data system user manual august 2018.
Point of originvisit previously source of admission codes 2011. Special billing instructions for specific ihcp benefit plans. This manual, ed by the american hospital association, is the only official source of ub data. A reserved for assignment by the nubc discontinued effective 1012007. Destination page number search scope search text search scope search text. Nubc together to develop a single billing form and standard dataset that could.
Nubc maintains lists of approved coding for the form. The national uniform billing committee nubc disclaimer for manual changes only. Point of origin source of admission form locator 16. Point of origin codes update to the ub04 cms1450 manual code. August 2019 nubc meeting tentative agenda as of 8619. Point of origin and discharge status codes for designated disaster alternate care sites. Ub04 cms 1450 claim form instructions for inpatient. User question database questions manual performance. The national ub04 uniform billing manual contains important coding information. Condition codes using the twodigit codes from the nubc manual for up to 11 occurrences. Enter the beginning and ending service dates of for the period. Tips for completing the ub04 cms1450 claim form revised 04.
This indicates the point of patient origin for the admission or visit. Discharge status using the twodigit codes from the nubc manual. The point of origin for the patient would be assigned under the code structure for newborn as 6 born outside this hospital. Welcome to the newly redesigned website of the national uniform billing committee. A reserved for assignment by the nubc discontinued effective 101 2007. Form locator 6 statement covers period from through. Enter 00 for cents if the amount is a whole number. This article impacts codes discontinued by the national uniform billing committee nubc will be discontinued for cms manual system. The nucc reference instruction manual must remain intact. Official ub04 data specifications manual 2020 page 3. Form locator 15 point of origin for admission or visit. The nubc approved the discontinuation of point of origin code 7 the new p7 condition code for public health reporting only was created solely for indicating. Use the twodigit codes from the nubc manual for up to 11 occurrences.
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