Which form should the billing and coding specialist transmit to the insurance carrier for reimbursement of inpatient hospital services?

Which form should the billing and coding specialist transmit to the insurance carrier for reimbursement of inpatient hospital services?

• A. UB-04
• B. CMS-1500
• C. EOB
• D. HCFA-1500

Answer: (A)

Inpatient hospital services are billed on the UB-04 form, the standardized institutional claim form hospitals use to report facility charges, room and board, and other costs of an inpatient stay. The CMS-1500 form is for professional services (like physician bills) and not for facility inpatient charges, while EOB stands for Explanation of Benefits and is not a claim form. HCFA-1500 is an older name for the professional-services form that evolved into CMS-1500, not the inpatient hospital billing form. The UB-04 (also known as CMS-1450) is the form used to transmit inpatient hospital claims to the insurance carrier.

Inpatient hospital services are billed on the UB-04 form, the standardized institutional claim form hospitals use to report facility charges, room and board, and other costs of an inpatient stay. The CMS-1500 form is for professional services (like physician bills) and not for facility inpatient charges, while EOB stands for Explanation of Benefits and is not a claim form. HCFA-1500 is an older name for the professional-services form that evolved into CMS-1500, not the inpatient hospital billing form. The UB-04 (also known as CMS-1450) is the form used to transmit inpatient hospital claims to the insurance carrier.