Master the EPIC Resolute Hospital Billing Test. Prepare with detailed flashcards and multiple-choice questions, each with helpful hints and comprehensive explanations. Ace your exam!

Multiple Choice

Which claim form identifier is used for hospital inpatient claims in the United States?

Inpatient hospital claims use the UB-04 form, the standardized institutional claim form (also known as CMS-1450). This form is designed for facility-based billing and captures data like diagnosis codes, procedures, revenue codes, length of stay, and charges for hospital services. The CMS-1500 is intended for professional services by individual practitioners, not for hospital inpatient claims. The electronic counterpart of institutional claims is 837I, which is used for electronic submission, but the paper form identifier remains UB-04. The 835 is a remittance advice document, not a claim form. So, for hospital inpatient claims, the UB-04 is the correct identifier.

Inpatient hospital claims use the UB-04 form, the standardized institutional claim form (also known as CMS-1450). This form is designed for facility-based billing and captures data like diagnosis codes, procedures, revenue codes, length of stay, and charges for hospital services. The CMS-1500 is intended for professional services by individual practitioners, not for hospital inpatient claims. The electronic counterpart of institutional claims is 837I, which is used for electronic submission, but the paper form identifier remains UB-04. The 835 is a remittance advice document, not a claim form. So, for hospital inpatient claims, the UB-04 is the correct identifier.