Question

What is a CMS-1500 form? What is the purpose of that form? Why is it important in healthcare? What are some of the basic guidelines that must be followed when submitting a CMS-1500 claim?

Answer 1

Answer:

CMS - 1500 claim form is used to submit paper claims for procedure and services provided by physicians and other health care providers on an outpatient basis.

Purpose:

* It provides information about the patient

* It helps to coordinate the care and treatment between the patient and health care professionals

*It provides information about corresponding insurance policy

* It covered the entities.

CMS-1500 is a standard form which is useful for the health care administrators, billing, medical coders, claim processing personnel. Physicians and clinicians use this form to submit the claims for their payments. ICR technology is used to computed the CMS-1500 form which helps to enhance the accuracy and efficiency of data collection.

Some basic guidelines:

* Use only orginal red ink on the white paper CMS-1500 claim form

* Do not add any extraneous data on the form

* Use dark ink to fill the form

* Do not tape , staple or clip anything to the claim form

* Place all necessary documents in the envelope with the claim form

*Don't use dollar sign, decimals or punctuation

* Don't use italics or script and use only upper-case letters