CPB (Certified Professional Biller) Certification Practice Exam

Which claim is associated with CMS-1450?

1. UB-92 Claim form used by institutional providers

2. UB-04 Claim used by institutional and other selected providers

3. HCFA-1450 Claim form used by noninstitutional providers

4. UB-04 Claim form used by noninstitutional providers

The correct answer is: UB-04 Claim used by institutional and other selected providers

The claim associated with CMS-1450 is the UB-04 claim form, which is specifically utilized by institutional providers, such as hospitals and skilled nursing facilities, as well as other selected providers. This form was introduced to provide a standardized method for billing services provided by these institutions to Medicare and Medicaid, among other payers. The UB-04 encompasses a wide range of institutional billing that includes services for inpatient and outpatient care, making it a critical tool in the healthcare billing process. It includes essential data regarding the services provided, patient information, and the facilities involved, facilitating effective communication with insurance providers for reimbursement. This form is a continuation and update from the older UB-92 form, which was similarly aimed at institutional billing but has since been replaced to meet evolving industry standards and requirements for information submission. Using the UB-04 form helps ensure that claims are processed correctly and efficiently, thus enabling providers to receive timely payment for their services.