Which form do we bill Medicare?

Which form do we bill Medicare?

• A. Cms 1450 form
• B. Ub04 form
• C. Cms 1500 form
• D. Hcfa-1500 form

Answer: (B)

Medicare separates claims by type: facility-based services use the UB-04 form, which is the same as CMS-1450. This form is designed for institutional claims from hospitals and similar facilities, capturing charges like room, board, and facility services. For professional services (like physician billings), Medicare uses the CMS-1500 form (old HCFA-1500 for historical reference). So when billing Medicare for facility-type services, the correct form is the UB-04.

Medicare separates claims by type: facility-based services use the UB-04 form, which is the same as CMS-1450. This form is designed for institutional claims from hospitals and similar facilities, capturing charges like room, board, and facility services. For professional services (like physician billings), Medicare uses the CMS-1500 form (old HCFA-1500 for historical reference). So when billing Medicare for facility-type services, the correct form is the UB-04.