Completing the UB-04 Billing Form: Locators 42-81

Learn how to complete FL 42-81 of the UB-04 billing form as it applies to all payers, including Medicare, Medicaid and commercial payers. Learners will become familiar with each form locator and understand detailed information about the codes needed to fill in these data areas.

Estimated course completion time: 1 hour and 30 minutes.

We also offer the UB-04 Billing Form: Form Locators 1-41.

Learning Objectives:

After this program you’ll be able to:

  • Identify revenue codes and their descriptions
  • Define the Healthcare Common Procedure Coding System (HCPCS)
  • Recognize modifiers and their uses
  • Identify non-covered charges
  • Recognize line item date-of-service requirements
  • Identify the Health Insurance Plan ID
  • Identify the assignment of benefits indicators
  • Recognize the National Provider Identifier (NPI)
  • Recognize relationship codes
  • Recognize the Insured’s Unique Identifier
  • Identify where to find additional information
  • Identify the Medicare records/health information management responsibilities
  • Recognize the principal diagnosis assignment
  • Define E Codes
  • Identify the procedure code requirements
  • Recognize the PPS/DRG assignment
  • Define Present on Admission Indicators (POA)

General Program Information

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