2011 nubc manual discharge status

Patient discharge status code reporting a discharge occurs when a medicare beneficiary leaves an acute care hospital after receiving acute care treatment. New condition code for language other than english lote o explore the use of that external code list can\t be used in an x12 standard until new versions. Enter the four digit code that identifies the specific type status as of the through date. Dischargedtransferred to snf with medicare certification in anticipation of covered skilled care. Nubc patient status ub04 data specifications manual.

Ja0801 was revised to update the web address on page 3 for accessing the list of designated cancer. Aha ed materials including the ub04 codes and descriptions may not. California, hawaii, nevada, american samoa, guam, northern mariana islands. See nubc official ub04 manual for additional codes. Ub04nubc current ub data specifications manual ub04 fl17 patient status version. New york state ub04 billing guidelines version 2011 01 61 2011. Discha h rge our enter the time when the person was discharged. Numerous and significant changes have been made to the ub04 manual from 2011 through 2017. The values for discharge status are taken from the national uniform billing committee nubc manual which is used by the billinghim to complete the ub04. Specifications manual for joint commission national quality measures v2016a print this page.

National uniform billing committee nubc official ub04 data specifications manual. This manual, ed by the american hospital association, is the only. Patient status enter a code to indicate the disposition or discharge status of the patient at the end of the period covered by this claim. New patient discharge status codes on ub04 claim form. Fact sheet summary of acute myocardial infarction and. This code indicates the patients discharge status as of the. It is important to select the correct patient discharge status code because it may affect your payment.

The chars procedure manual and chars companion guide supplement the national uniform billing committee uniform billing form 2004 nubc ub04 and the asc x12. Nov 2, 2007 meeting nubc has redefined the patient discharge status code 05 to indicate a. The patient status code set is defined by the nubc. Nubc created a new patient discharge code to define discharges or transfers to courtlaw. To assist in the proper coding of patient discharge status code, providers may access data elements, codes, and frequently asked questions by referring to the ub04 data specifications manual. Jul 29, 2011 is received with any discharge status code other than 30. National uniform billing committee nubc uniform bill.

New patient discharge status codes on ub04 claim form effective october 1, 20. A patient discharge status code is a twodigit code entered into form locator fl 17 on the ub04 claim form that identifies the patients status at the conclusion of a health care facility encounter this could be a visit or an actual inpatient stay or at the time end of a billing cycle the through date of a. National uniform billing committee nubc, will be accepted into the. It is a refresher from the provider billing manual. Locator 17 patient discharge status 01 discharged 30 still patient locator 38 responsible party name and address claim addressee. Apr 1, 2004 national uniform billing committee nubc and to add all nubc additionally, all codes that have been approved by the nubc and that se1117 cms. Highmark blue shield billing highlights june 2011 snf outpatient. Ushik home the united states health information knowledgebase ushik contains information from numerous healthcarerelated initiatives. See chapter 9 of the medicare benefit policy manual for hospice eligibility. Do not use this for transfers to a nonmedicare certified area. Aug 1, 2011 per the nubc, the point of origin for admission or visit code is. This manual, ed by the american hospital association, is the only official source of ub data. Nubc maintains lists of approved coding for the form. Ushik content includes administered items and other artifacts for cms quality reporting programs, allpayer claims databases, childrens ehr format, draft clinical quality measures available for feedback, ahrqs patient safety common formats, as well as.

Clarification of patient discharge status codes and hospital transfer policies ja0801. Please use the following link to read the complete patient discharge status faqs from nubc. October 1, 2011 for the 2012 cap year and subsequent cap years. To license the electronic data file of ub04 data specifications, contact aha at 312 8936816. Billing highlights skilled nursing facility part b. I believe this change was due to the fact that use of national uniform billing committee nubc elements requires that we pay royalty fees. The ub04 data specifications manual is the official source of data specifications adopted by the nubc and contains codes used in the 837 institutional electronic claims. Welcome to the newly redesigned website of the national uniform billing committee. In 2011 12 chars transitioned to the 837 5010 file format and october 1, 2014 with the united states will move to icd10 codes. Masshealth billing guide for the ub04 executive office of.

Hospital discharge data system user manual august 2018 5 background in 1975, the american hospital association aha brought the national uniform billing committee nubc together to develop a single billing form and standard dataset that could be used nationwide by institutional providers and payers for handling healthcare claims. We are recommending using the references distributed by the national uniform billing committee nubc official ub04 data specifications manual. The provider enters the code indicating the source of the referral. Instead, the hospice reports condition code h2 to indicate a discharge for cause. Committee nubc has approved new discharge status codes 8195 that go into effect with october.

Patient discharge status codes identify where a patient is at the conclusion of a health care facility encounter or at the end of a billing cycle. A patient discharge status code is a twodigit code that identifies where the patient is at the conclusion of a health care facility encounter or at the end of. Summary of 4111 ami and hf manual revisions page 1 of 4 updated. Admission type code 9 and admission source code 9 are not allowed. R2250cp 07012011 nonsystems internet only manual iom. New patient discharge status code 21 to define discharges or transfers to courtlaw enforcement. Point of origin and discharge status codes for designated disaster alternate care. Alp providers who choose to submit their claims on paper forms must use the national uniform billing committee nubc ub04 claim form. Any nubc approved patient status code may be used in these cases.

Patient discharge status faqs new york state department. Nubcnucc meeting summaries public health data standards mar 16, 2010 year, nubc will draft a recommendation for oct 1, 2011. Inpatient psychiatric quality reporting ipfqr program. Do you have general guidelines for reporting patient discharge status. This discharge claim will terminate the beneficiarys current hospice benefit period as of the through date on the claim. Jan 23, 2008 assigning the correct patient discharge status code is just as important choosing the patient discharge status code correctly avoids claim errors new patient discharge status code 70 per nubc, effective april 1, 2008. The hospice does not report occurrence code 42 on their claim. For status codes, please refer to the nubc ub04 manual. Change to all measure sets discharge status has been changed to discharge disposition.

Ub 04 medicare discharge status code cms 1500 claim form. Origin for admission or visit codes to the ub04 cms1450 manual code list. New revenue code 0815 for allogeneic stem cell acquisition services created by the national uniform billing committee nubc, will be. Dischargedtransferred to shortterm general hospital for inpatient care. West virginia hospital inpatient data system data element specifications guide february 7, 2011 page 1 introduction the west virginia hospital inpatient data system wvhids collects, processes, and analyzes inpatient discharge data that are collected by the west virginia health care authority wvhca. Point of origin and discharge status codes for designated disaster alternate care sites. Back in 2011 cms removed discharge status as a data element replacing it with discharge disposition.

Because this data element is critical in determining the population for many measures, the abstractor should not assume that the ub04 value is what is reflected in the medical record. A patient is discharged from our facility disposition code 01 and is to go to a doctors appointment the same day. To report hh visits on episodes beginning on or after january 1, 2011, the hha. The revision date and code sources, the national uniform billing committee nubc, or from make sure the entry. Racs and patient status, discharge disposition codes part ii. Now it appears that discharge status is to be used for the. This patient discharge status code should be used whenever the destination at discharge is a federal health care facility, whether the patient resides there or not. The national uniform billing committee nubc makes their ub04 manual as situational in an implementation guide and are accessed by visiting the. Patient status at discharge specifications manual for joint commission national quality measures v2016a. This cr provides implementing instructions for a new patient discharge. The nubc has also clarified that this code should also be used when a patient is transferred to an. Clarification of patient discharge status codes and. The ub04 manual is available at form locators in this manual for. Ub04nubc current ub data specifications manual ub04 fl17 patient status.

Hospitals and providers are manual, appendix a survey protocol, regulations and interpretive guidelines for national uniform billing committee nubc, effective april 1, 2004, that specifies. Dataelem0247 manual performance measurement network. The national uniform billing committee nubc approved a new patient discharge status code 20 expired, 40 expired at home, 41 expired in a change request 7473 cms. The data elements and codes are developed and maintained by the national uniform billing committee nubc. Status are taken from the national uniform billing committee nubc manual which. Clarification of patient discharge status codes and cms. All apr drg claims must include the discharge date regardless of the status code of the member. This data specifications manual is available from the national. Racs and patient status, discharge disposition codes part. This is the second article by gloryanne bryant on a subject that continues to raise questions and cause confusion. June 2011 snf outpatient page 1 of 3 skilled nursing facility. National uniform billing committee nubc uniform bill patient discharge status codes provides a set of patient status codes used for patient billing to be included in discharge status messages. Fis shall not this code is for uniform use by state uniform billing committees.