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Do you need just a few CMS 1500
Forms We can help! 50 New CMS1500 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is now outdated.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 The old HCFA 1500 is obsolete and the new replacement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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