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WIpop (UB-04 Version) Manual
Download the entire manual here.
(To save the manual locally, right click and choose Save Target As...)
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These WIpop manual changes for the UB-04 will not be implemented until July 1, 2007 (Q3 2007). Q1 2007 changes include CPT codes required on all outpatient records and new race & ethnicity coding system. |
- Overview - Quarterly Data Submission Process
- Data Parameters and Submission Deadlines
- Profile and Affirmation Statements
- Inpatient/Outpatient Submittal Data Dictionary
- Inpatient/Outpatient Submittal Record Layout
- Primary Record
- Revenue Record
- Diagnosis Record
- Procedure Record
- Data Submission Guidelines
- Data Submission User Guide
- Appendices
- Facilities
- Race and Ethnicity Codes
HRET Presentation - Race & Ethnicity Collection
- Point of Origin for Admission or Visit
- Newborn Coding Structure Point of Origin for Admission or Visit
- Type of Admission
- Patient Status
- Expected Source of Payment
- Type of Bill
- Place of Service
- Encrypted Case Identifier
- Coding Guidelines
- WIpop Error Validation - Edit Process
- FTP Clients
- Data Cycle Timelines
- Manual Data Entry
- Campus Definition
- Federal Billing Forms
- Wisconsin Statutes
- Frequently Asked Questions
To download a UserID Request Form, click here. |
To access the WIpop manual prior to the 2007 changes, click here. |
Timeline for Submitting Quarterly Data |
| Quarter |
Last Day of Quarter |
Data Submission Deadline for IP, OPS and ED Records |
Extension Request Deadline |
Data Submission Deadline for Other Hospital Outpatient Records |
Extension Request Deadline |
1 |
March 31 |
May 15 |
May 5 |
August 15 |
August 4 |
2 |
June 30 |
August 15 |
August 4 |
November 15 |
November 8 |
3 |
September 30 |
November 15 |
November 8 |
February 14 |
February 4 |
4 |
December 31 |
February 14 |
February 4 |
May 15 |
May 5 |
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Record of Revisions |
| Revision Date |
Topics |
Page Numbers |
In Manual |
PDF Version |
10/9/07 |
Facility Name Changes, Source of Admission, Source of Admission for Newborns and Patient Status |
5-1-1, 5-1-2, 5-1-5, 5-3-1, 5-3-2, 5-4-1 and 5-6-1 |
Appendix 1 pages 1,2 and 5, Appendix 3, Appendix 4 and Appendix 6 |
7/5/07 |
Data Submission User Guide Updated |
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3/1/07 |
Revenue Code 0480, Facility Listing Update, Patient Status Codes, New Edits and Frequently Asked Questions |
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12/15/06 |
Physician ID - NPI, New CPT range added, Race & Ethnicity, Updated Timeline |
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| Archived Record of Revisions
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