Get Cbm-1-b Note: Outpatient Visits Reported On Form Cbm 1-b Must ...

Filling out the CBM-1-B form requires careful attention to detail in reporting outpatient visits data. This guide will help you navigate the form's sections and fields for accurate completion.

Follow the steps to successfully complete the CBM-1-B form online.

1. Click ‘Get Form’ button to obtain the document for completion. This will enable you to access the form in your preferred format for online filling.
2. Identify the projected actual and budget fiscal years, and accurately enter outpatient visit totals for the five payor groups for acute care and Distinct Part Units. Ensure you review your organization's data for this entry.
3. Enter the total acute care outpatient visits for the projected actual fiscal year in Line 7 and in Line 16, provide the budgeted fiscal year's figures.
4. Record the total outpatient visits for the projected actual fiscal year in Line 9 and for the budgeted fiscal year in Line 18, making sure these figures reflect all relevant visits.
5. Remember that outpatient visits reported on Form CBM 1-B must have a corresponding outpatient revenue reported on Form CBM 2-A. Thus, ensure that the reported outpatient visits exclude patients admitted to the hospital.
6. Consult the examples provided to understand counting outpatient visits correctly, such as counting each emergency room patient as one visit, regardless of ancillary services received.
7. For accurate reporting, ensure that out-of-state Medicaid is categorized under Medicaid payor class, while DOL Black Lung should be reported under Medicare or Other Governmental payor category, as determined by the primary payor.
8. Complete data for the Distinct Part Unit(s) and ensure it is not combined with acute care data, as the Authority no longer sets rates for these units.
9. Once all fields are completed and verified for accuracy, you can save your changes, download, print, or share the completed form as needed.

Start filling out your CBM-1-B form online today to ensure accurate reporting of outpatient visits.