Q&A: Applying NUBC requirements to payers

Q: Do the requirements in the National Uniform Billing Committee (NUBC) Manual apply to all payers?

A: It cannot be emphasized enough that the requirements in the NUBC Manual apply to all providers, payers, and other HIPAA-covered entities, such as clearinghouses. Certain revenue codes, for example, must be used when billing services to all payers; it is often not an option to use a different revenue code. For example, now that there is a new revenue code for cell therapy products such as chimeric antigen t-cell products (revenue code 0891), then that revenue code should be used for all payers, inpatient, and outpatient claims.

For more information, see The Chargemaster Essentials Toolkit, Second Edition.