This patch contains a revised UB92 billing program to comply with new Medicare "Therapy Plan Established" edits.

Medicare recently introduced additional edits that require the "Therapy Plan Established" date on all Medicare Part B bills. This update will add the appropriate code to the Medicare bills and warn the user if the code is missing.

The Update Additional UB92 Information screen appears below: [ADDUB92 - GM, 1, 14, 5].


    
                       Additional UB92 Billing Information
 Resident: _____________________       
                                      Cumulative  Do NOT
      Onset     PlanEstb   1stTreat    Visits     Bill After
 PT  ▬▬▬▬▬▬▬▬▬▬ ▬▬▬▬▬▬▬▬▬▬ ▬▬▬▬▬▬▬▬▬▬  ▬▬▬▬       ▬▬▬▬▬▬▬▬▬▬
 OT  ▬▬▬▬▬▬▬▬▬▬ ▬▬▬▬▬▬▬▬▬▬ ▬▬▬▬▬▬▬▬▬▬  ▬▬▬▬       ▬▬▬▬▬▬▬▬▬▬
 SP  ▬▬▬▬▬▬▬▬▬▬ ▬▬▬▬▬▬▬▬▬▬ ▬▬▬▬▬▬▬▬▬▬  ▬▬▬▬       ▬▬▬▬▬▬▬▬▬▬
  Eligible Medicare       Part 'B'
  'A':   'B':   'D':      . Coverage Start Date: ▬▬▬▬▬▬▬▬▬▬
                          . Coverage End Date  : ▬▬▬▬▬▬▬▬▬▬
                          . HMO Bill Type to Bill Part 'B': ▬▬
  Part 'D'                Part 'B' Therapy Limits Exceptions
  . RX Plan:              . PT Y OT Y  From Date  __________ To Date __________
                          Dialysis Center
                          . Override Condition Code: ▬▬
                          . Code '74' Dates: ▬▬▬▬▬▬▬▬▬▬ - ▬▬▬▬▬▬▬▬▬▬
                          Medicare Rates
                          . Use Medicare Adjusted Rate: ▬

The Plan Established date for all therapy charges being billed must be updated.

As in the past the Onset dates and First Treatment dates must also be entered.

Note: The Update UB92 Billing Information Screen [UB92INFO - GM, 8, 2, 7] could also be used to enter this information.

 

You are now ready to Print or Process your UB92s - be sure to review the printouts for any error messages about missing therapy date before releasing any bills or claims.


If you have any additional questions please feel free to call client service at (718) 338-2400.

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