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Which of the following information is needed to complete a cms-1500 form quizlet


When completing a CMS-1500 form, patient demographics, provider demographics, and specifics of the visit (including services and diagnosis) are required. Medical record number is not required, as it is used only in the provider's office to identify patient records.

What is the CMS 1500 claim submitted for?

The CMS-1500 form is the standard claim form used by a non-institutional provider or supplier to bill Medicare carriers and durable medical equipment regional carriers (DMERCs) when a provider qualifies for a waiver from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of ...

When completing the CMS 1500 form which section contains information?

When completing the CMS-1500 Form, which section contains information about the patient and the insured? Both A and B; Social Security Number (SSN). Employer Identification Number (EIN).

What are six items needed to complete the CMS 1500?

What three items do you need in order to fill out the CMS 1500? Patients registration form, patient's health record Documentation, superbill/encounter form.


Identify the order of events after a claim reaches the insurance carrier: 1.Application of leftover deductible 2.Examining the procedures performed and the 'medical necessity' on these procedures 3.Application of 'allowable payments options' for every procedure performed 4.Review of the claim for proper formatting and information




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