| Resources > Advance Beneficiary Notice |
Below are additional online resources on Advanced Beneficiary Notice, the UB-04 Form and other revenue cycle topics such as EDI. For more information, visit www.BridgeFront.com.
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Wisconsin Physicians Services (WPS) Medicare website: http://www.wpsic.com/medicare/
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Download this CMS newsletter to learn about the latest Change Request (CR) 6563, related to the Advanced Beneficiary Notice (ABN). Change effective April 1, 2010. |
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CMS Beneficiary Notices Initiative (BNI) web site: http://www.cms.gov/BNI/
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Full color paper proofs of the UB-04 form are available from:
New Medical Forms
Sales & Customer Support
Email: newmedicalforms@pacbell.net
Phone: 1-877-256-0027
Online: www.newmedicalforms.com
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The Official UB-04 Data Specifications manual is available from the National Uniform Billing Committee (NUBC). Cost is $150/year for a printable electronic manual or an electronic version with updates. Order online or download the request form and then send to address below:
American Hospital Association
National Uniform Billing Committee
P.O. Box 92247
Chicago, IL 60675-2247 |
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Chapter 25 UB-04 Instructions (PDF):
http://www.cms.hhs.gov/manuals/downloads/clm104c25.pdf |
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UB-92 Handbook for Hospital Billing and/or UB-04 Handbook for Hospital Billing:
- Go to: www.aha.org
- Go to Red Banner, half way down the page and look for SERVICES.
- Visit the AHA ONLINE STORE.
- Then use the SEARCH box & type BIRKENSHAW or BILLING
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For a copy of this form, visit the National Uniform Claim Committee website: www.nucc.org
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More information on EDI is located on the Washington Publishing Company website: www.wpc-edi.com
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Please contact us at toll free (866) 447-221 or via email at info@bridgefront.com. |
