UB04 Type of Bill Code 0321: Home Health - Inpatient (Plan of Care) - Admit through Discharge Claim

Introduction

Type of Bill Code 0321 represents a Home Health Inpatient claim submitted for a Plan of Care that covers the entire period from admission through discharge. This code is reported in Field 4: Type of Bill.

Usage

This code is specifically used by Home Health Agencies (HHAs) when providing services under a home health plan of care where the patient is treated in an inpatient setting. It signifies a 'one-and-done' billing cycle, meaning the claim encompasses the full duration of the patient's stay or episode rather than being a partial or interim bill.

Billing Impact

Using this code ensures the payer processes the claim as a final settlement for the episode, preventing the need for subsequent interim claims and triggering the final payment calculation for the home health services provided.