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Claim submission guidelines
Claim submission guidelinesClaim submission guidelines
Modified: 2/9/2012
This article revises and clarifies the national policy for place of service code assignment as outlined in change request 7631. [MM7631]
Modified: 10/12/2011
This document discusses the conditions and requirements of the Item fields within the CMS-1500 (08/05) paper claim form. [CMS IOM Pub 100-04 (Chapter 1 & 26), CR6947, CR 7538]
Modified: 10/12/2011
Billing providers are required to indicate the name and address of where the services were rendered on item 32 of the CMS-1500 (08/05) paper claim form, including the patient’s home.
Modified: 9/29/2011
This tutorial focuses on areas of the CMS-1500 form where errors occur, including items containing NPI/legacy numbers.
Modified: 8/26/2011
When billing for unlisted drug codes, include the name, strength, and dosage of the drug. [CMS IOM Pub 100-04, Ch. 17]
Modified: 3/2/2011
This article explains issues that may occur when indicating a patient payment amount on a claim and provides recommendations when assignment is accepted. [CMS IOM Pub 100-04, Ch. 1, sec. 30.3.1.1 (2), 30.3.3.B (2), Ch 26, Sec 10.4]
Modified: 8/4/2009
Tired of having claims returned because you didn't complete the insurance section of the CMS 1500 Form? This short tutorial focuses on how to complete the patient information section of the CMS-1500 form. [CMS Pub 100-04, ch 26]
