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Controversies in Billing for Clinical Services - American Society of ...

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Bill<strong>in</strong>g <strong>in</strong> Hospital-Based Hospital Based Cl<strong>in</strong>ics<br />

Pharmacist sees patient<br />

– Documents visit (see attached examples)<br />

– Fills out encounter <strong>for</strong>m (“super-bill”)<br />

(“super bill”)<br />

CPT codes, ICD-9 ICD 9 codes, procedure codes<br />

Bill<strong>in</strong>g personnel enters data electronically <strong>in</strong><br />

UICMC bill<strong>in</strong>g system<br />

– Revenue code entered<br />

Bill<strong>in</strong>g system produces UB-92 UB 92 (CMS-1450)<br />

(CMS 1450)<br />

which is filed electronically with CMS and<br />

<strong>in</strong>surance companies

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