WIpop (UB-04 Version) Manual

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1. Overview - Quarterly Data Submission Process
   • Data Parameters and Submission Deadlines
   • Profile and Affirmation Statements
2. Inpatient/Outpatient Submittal Data Dictionary (updated)
3. Inpatient/Outpatient Submittal Record Layout
   1. Primary Record
   2. Revenue Record
   3. Diagnosis Record
   4. Procedure Record
   5. Data Submission Guidelines
4. Data Submission User Guide
5. Appendices
   1. Facilities (updated)
   2. Race and Ethnicity Codes
      HRET Presentation - Race & Ethnicity Collection
   3. Point of Origin for Admission or Visit (updated; moved Newborn Coding structure to this appendix)
   4. Condition Codes (new)
   5. Type of Admission
   6. Patient Status (updated)
   7. Expected Source of Payment (updated)
   8. Type of Bill
   9. Place of Service
   10. Encrypted Case Identifier
   11. Coding Guidelines
       • CPT/HCPCS Codes as Principal Procedure Guideline
       • ICD 9-CM Official Guidelines for Coding and Reporting, Effective October 1, 2009
       • List of New Exempt POA codes as of October 1, 2009
   12. WIpop Error Validation - Edit Process
   13. FTP Clients
   14. Data Cycle Timelines
   15. Manual Data Entry (updated)
   16. Campus Definition
   17. Federal Billing Forms
   18. Wisconsin Statutes
   19. Frequently Asked Questions (updated)