BC Advantage - 2007 Issue 3
The New UB-04 and Present-on-Admission Indicator
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Article Overview
This article covers the shift from the UB-92 to the UB-04/CMS-1450 facility billing form and the related update to diagnosis reporting workflows. It also discusses the introduction of the Present-on-Admission indicator, broader form changes tied to diagnosis and procedure reporting, and the role of revised guidance from CMS, ICD-9-CM, and public health sources. The content is relevant for facility coders, billers, and revenue cycle staff who need to understand how the new form and associated reporting updates affect claim preparation.
Why This Topic Matters
The UB-04 transition affected facility claim submission processes and introduced reporting changes that could influence data quality and payment-related outcomes. Understanding the scope of the update helps billing and coding teams recognize where new form requirements, diagnosis reporting changes, and POA-related guidance fit into their workflows.
What You Will Learn
- What changed with the facility claim form transition to UB-04/CMS-1450
- How the article frames the Present-on-Admission indicator in facility billing
- What general types of reporting updates were associated with diagnosis and procedure fields
- Where revised guidance and supporting reference materials were made available
Who Should Read This
- Facility coders
- Hospital billing staff
- Revenue cycle professionals
- Compliance staff
- Health information management professionals
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