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CHARS Conversion from UB-92
to UB-04 billing document format
Project Status: September 14th, 2007
Hospital are entering data in the new UB-04, others are
sending us test files in the 837i format and we are currently
offering orientation sessions.
For orientation information or to sign up contact: Julie
Rhodes, RHIA - CHARS Business Liaison
Julie.rhodes@doh.wa.gov
- Phone (360) 236-4223
For more information about submitting test files please contact Kim Dunlap. (360) 236-4208 We are expecting July 2007 data in the 837 file
format.
New Additions
Bulletins
Manuals
Reference
Background
FAQ's
New
Additions
Bulletin 16-2008 (May
2, 2008)
Bulletin 15-2008 (February
15, 2008)
Bulletin 14-2007 (November
9, 2007)
UB-04 Redevelopment Bulletins
Bulletin 13-2007 (October
24, 2007)
Bulletin 12-2007 (September
14, 2007)
Manuals
UB-04 CHARS
Procedure Manual (February 15, 2008)
CHARS UB-04
Companion Guide Introduction
CHARS UB-04
Companion Guide File Detail
Reference
Legislative website listing
Washington Administrative
codes (WAC) 246-455
CHARS
Data Elements in the WAC and mapping to the UB_04 Form Locator
Positions (March 27, 2007)
Specialized Topic Page
CHARS Hospital
Representative and Technical Information Page
This page is for data provider hospitals to stay informed on
their role.
Frequently
Asked Questions - Hospital Representative FAQ's
This page is for answers to common questions about our new
UB-04 CHARS
Frequently
Asked Questions - CHARS Technical FAQ's
This page is for answers to common technical questions about our new
UB-04 CHARS
Washington Administrative Code
(WAC) Change Process
Review the new CHARS WAC.
Recommendation
Committee
Review the work of the committee which recommended additional elements to
collect for the CHARS system.
Overview:
The Department of Health's (DOH) Comprehensive Hospital
Abstract Reporting System (CHARS) collects data on every
inpatient admitted to every community hospital in Washington
State. Hospitals are required to submit this information to
DOH and the data hospitals submit is captured in the
hospital's billing system. That data is based on a standard
hospital billing document known as the UB-92. This UB-92
document and the underlying data set are recognized as the
standard billing information required by all major insurance
plans covering hospital care. The UB-92 is being superseded by
the UB-04 billing document.
The End Result:
The CHARS system will be able to handle all the UB-04 form changes including
the additional quantity of
current elements and any elements added from the public review
process that are included in the final WAC. The collection of
data as well as the processing, correction and dissemination
will all work more efficiently and accurately after the work
flow upgrades.
Why does CHARS need to be renovated
As healthcare changes over time, billing
datasets require updating to sufficiently capture the
information required by health plans to document care. In
1994, the UB-82 dataset was superseded by the UB-92 dataset.
Now, another revision is at hand. Healthcare industry experts
have been working for years on a revision to the UB-92 dataset
and that revision, the UB-04, is now ready to be adopted by
the industry. Most insurers will begin accepting the UB-04 by
late 2006 and are expected to completely convert to the UB-04
by the middle of 2007. To accommodate the requirements of the
new UB-04 dataset and to transmit the revised information set
to insurers, hospitals will need to modify their billing
systems. Since the data hospitals will be sending to CHARS
will now be derived from the UB-92 dataset, DOH too will need
to modify its requirements and its system to accommodate the
UB-04 dataset.
Project Facts:
CHARS collects data from 96 community hospitals which
include 130 Medicare certified units such as acute,
psychiatric, rehabilitation and swing bed units. Approximately
617,000 discharge records were collected in 2005 and 634,000
in 2006. The public
data has added value elements such as the Center for
Medicare/Medicaid Services "Diagnosis Related Group" and
"Major Diagnostic Group".
Confidentiality
Information:
There are confidential elements collected which are only
released after going through a review process to qualified
researchers as well as public elements which according to
state law can be released to anyone. The confidential elements
are also used to create public releasable data such as age at
admission which uses the confidential admission date minus the
confidential birth date.
Contact Information:
email: Chars UB-04 Process
Comments or questions regarding this process or this web site?
Send email to Hospital
Data at CHS
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