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"How to Complete
a CMS 1500
Completely and Correctly  Line By Line -
Box By Box" ebook.




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CMS 1500 Forms
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CMS 1500

     The CMS1500 forms are the new replacement for the older version CMS or HCFA 1500 forms.  There seems to be a lot of changes in the world of medical billing and here comes another one!  The classic red and white HCFA 1500 form is now outdated.  It isn't anything drastic - just a few small changes.  The old HCFA 1500 is obsolete and the new replacement is now required.     
 
    The CMS forms were revised in August 2006.  The revised form accommodates the reporting of the NPI number or the National Provider Identifier.  The new form was officially accepted starting January 1, 2007 and it's use mandated by April 2, 2007.   April 2, 2007 was supposed to be the cutoff date for using the old form but many insurance carriers were not ready and allowed the use of old forms instead of enforcing the use of the new CMS 1500s. 

          The major difference between old and the revised CMS 1500 form is the split provider identifier field which allows for the reporting of both NPI number and the corresponding Legacy number on them.  The "type of service" box was eliminated and deemed no longer required information. 

     Many items were removed from the old HCFA form including the barcode and the words "please do not staple in this area".  Some wording was changed such as "Tricare" was added above "Champus"  and "Va File #" was changed to "Member ID#" in box 1. 

     Also important is the fact that several boxes have changes in the size of the field.  This means they will print differently on the new forms.  Your software will have to accommodate these changes. 

     Some areas of the CMS1500 are shaded so that they start to look more like the UB92 forms which also changed.  Here's more information on the new UB04 claim forms.

     If you submit any 1500 forms, you will want to start checking into the changes that you will need to make.  Does your software have an update available that will accommodate the NPI number and the new CMS1500 form?  Will you be capable of entering the NPI number on your forms?  Will your forms still print inside the boxes as required? 

     When billing medical insurance claims electronically, you'll want to make sure your software and vendor are capable of reporting the NPI number in the proper format to prevent your income from coming to a screeching halt.

     I would strongly urge you not to wait until anywhere near the deadline to make sure you are ready for these changes.  Start looking into the modifications now and begin to make your plans for your office.  If you wait until the last minute it could greatly disrupt your cash flow.

  Now available   - Our NEW  "How To Complete a CMS 1500 (HCFA 1500) Completely and Correctly - Line By Line, Box By Box" ebook is now available.  This 40 page ebook explains in terms a medical biller will understand exactly what information is required and where to put it on the new CMS 1500 forms with specific details.  Here's more information and an excerpt from "How To Complete a CMS1500 (HCFA 1500) Completely and Correctly - Line By Line, Box By Box".  Avoid unnecessary denials on your medical insurance claims by completing the form correctly the first time.  You will need Adobe Acrobat Reader to read the report.  You can download the newest version here at Acrobat Reader.

Here's a list of frequently asked questions to the NUCC on this new form.



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