1. Hospital Claims UB-04 Revenue Cycle

2. Patient Access Patient Financial Services RCPSI Revenue Integrity HIM The billing process involves all areas of the Revenue Cycle.

3. Top UB04-Demographics Type of Bill Each digit has a specific meaning Most important is the Middle digit To denote In or Outpatient Account Number, Medical Record Number, Tax ID and statement dates for the visit Patient information Insurance information

4. Middle of UB04- Charge Details Insurance Information Revenue Code Charge Description CPT/HCPCS/Room Rates Charge Date Units Total Charges Noncovered Charges 1234567 Charges are organized by numeric order of the Revenue Codes. Some revenue codes can only be billed on Inpatient Claims. There are also revenue codes that can only be billed on an Outpatient Claim.

5. Bottom UB04 - Miscellaneous Payer Name Payments/Amount Due Facility National Provider ID And Payer ID’s Subscriber NameSubscriber ID Authorization number Diagnosis and DRG Principle Procedure Code and Date Physician National Provider ID

6. Understanding a UB04 claim helps Accounts get billed and paid faster Which means more money for our mission!