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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
  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
    2. Race and Ethnicity Codes
      HRET Presentation - Race & Ethnicity Collection
    3. Point of Origin for Admission or Visit
    4. Newborn Coding Structure Point of Origin for Admission or Visit
    5. Type of Admission
    6. Patient Status
    7. Expected Source of Payment
    8. Type of Bill
    9. Place of Service
    10. Encrypted Case Identifier
    11. Coding Guidelines
    12. WIpop Error Validation - Edit Process
    13. FTP Clients
    14. Data Cycle Timelines
    15. Manual Data Entry
    16. Campus Definition
    17. Federal Billing Forms
    18. Wisconsin Statutes
    19. Frequently Asked Questions

To download a UserID Request Form, 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
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    
3/1/07
 Revenue Code 0480, Facility Listing Update, Patient Status Codes, New Edits and Frequently Asked Questions    
12/15/06
 Physician ID - NPI, New CPT range added, Race & Ethnicity, Updated Timeline    
Archived Record of Revisions
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