UB04 Billing Instructions Guide - Maine

In FL 47, a facility less than five years old, should bill $1012. In FL 47, a facility greater than five years old, should bill $787. Dollar signs and decimal points must not be used on the claim form. Case Mix Nursing Facilities Billing. Bill the 0169 revenue code for the non-case mix element (direct care add-on, routine and fixed). ................
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