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Wiki Hcfa vs ub claims

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1CodingTeam24

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When billing out a facility claim but the professional claims is being billing out of the doctors office. Are there any guidelines as to if both claims have to match exactly or can a facility provider bill all lines on there facility claim even if they are not being billed out on the professional claim?

Thanks
 
CMS-1500 & UB-04 wont always match completely, For instance E&M leveling is different for physician than Facility. Facility also includes items such as drugs and supplies that aren't reportable by the physician.
 
Ok. Thanks that helps us out alot.. Is there any guidelines to how many procedures can be billed out on a facility claim if all are done in one session? Im mainly referring to non cms payors.
 
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