Which three codes are added automatically by the UB screen?

Enhance your skills for the Epic Claims and Remit Test. Boost your understanding with detailed questions and informative explanations. Prepare to succeed in your exam!

Multiple Choice

Which three codes are added automatically by the UB screen?

Explanation:
On the UB-04 claim flow, the system’s UB screen preloads essential administrative data to support payer reviews, timing, and payment rules. Three types of codes are added automatically: occurrence codes, value codes, and condition codes. Occurrence codes identify dates tied to events that affect the bill, such as a date of accident or onset of a condition, and they’re paired with the corresponding dates on the claim. Value codes carry monetary qualifiers or other non-charge values that describe payment-related information tied to the encounter, such as patient responsibility or negotiated values. Condition codes flag special circumstances about the patient or the encounter that can influence adjudication, like emergency admission or other payer-specific flags. Diagnosis codes (ICD-10-CM), procedure codes (CPT/HCPCS), and revenue codes come from clinical documentation and charge-entry processes and are not automatically populated by the UB screen.

On the UB-04 claim flow, the system’s UB screen preloads essential administrative data to support payer reviews, timing, and payment rules. Three types of codes are added automatically: occurrence codes, value codes, and condition codes.

Occurrence codes identify dates tied to events that affect the bill, such as a date of accident or onset of a condition, and they’re paired with the corresponding dates on the claim. Value codes carry monetary qualifiers or other non-charge values that describe payment-related information tied to the encounter, such as patient responsibility or negotiated values. Condition codes flag special circumstances about the patient or the encounter that can influence adjudication, like emergency admission or other payer-specific flags.

Diagnosis codes (ICD-10-CM), procedure codes (CPT/HCPCS), and revenue codes come from clinical documentation and charge-entry processes and are not automatically populated by the UB screen.

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