The revised CMS-1500 claim form, which was recently approved by the Centers for Medicare & Medicaid Services (CMS), has been released for official use. The new CMS-1500 (version 02/12) will replace the previous form (version 08/05).
As a healthcare provider, you are required to use the CMS-1500 to submit claims and seek reimbursement by health insurance companies. The CMS-1500 captures all the necessary information – including reporting of the National Provider Identifier (NPI) — in strict accordance with HIPAA. In addition, it now aligns the paper form with certain changes in the electronic Health Care Claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1).
Fully updated with the 2012 revisions, the new CMS-1500 is 100% compliant and printed to exact specifications. As a result, our CMS-1500 forms offer a distinct advantage: Anti-Rejection Protection™*. Forms are fully compliant and rejection-proof, so you get paid quicker!
The final transition timeline for implementation of the revised CMS-1500 claim form is as follows:
• January 6, 2014: Private insurance carriers and Medicare begin receiving and processing paper claims on the revised CMS-1500 claim form (02/12)
• January 6 – March 31, 2014: Dual-use period during which private insurance carriers and Medicare continue to receive and process paper claims submitted on either version of the form
• April 1, 2014: The current claim form (08/05) is discontinued; all private insurance carriers and Medicare receives and processes paper claims submitted only on the revised CMS-1500 claim form (02/12)
It’s important to note, too, that the transition will be gradual, and testing will be ongoing through the transition period ending on March 31, 2014.
has over 25 years experience in the printing industry, providing healthcare and professional businesses with ALL their promotional and business printing needs.
Janet is the creator and editor of the Dragon Printing Blog. She has been with our company since 2012.
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