What is the patient portion of the CMS 1500 and what information does it require quizlet?
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Item 1 - Type of insurance held by the patient. Show Item 2 - Patient's full name (last name, first name, middle initial), exactly how it shows on the insurance card Item 3 - Patient's date of birth (MM DD YYYY) and sex (M/F) Item 4 - The name of the insurance policy holder. If the patient and the insured are the same person then write SAME Item 5 - Patient's full address and telephone # Item 6 - Relationship of the patient to the policyholder Item 7 - Full address of the insured. If the address is the same as the patient's then write SAME Item 8 - Marriage and employment status of the patient. Medicare is the only insurance that this box should stay blank. Item 9 - Other insured's name. This will be used IF the patient is covered by secondary health coverage. Item 10 - "yes" or "no" regarding patients conditions. Automobile, work, or other possible liability claims are different. Item 11 - Policy # of primary policy Item 12 - Signature for release of information Item 13 - Signature for permission to authorize payment from the third-party payer to the healthcare provider Recommended textbook solutions
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Mathematics with Business Applications6th EditionMcGraw-Hill Education 3,760 solutions For Medicare, for the current illness, injury, or pregnancy, enter either an 8-digit (MMDDCCYY) or 6-digit (MMDDYY) date. For chiropractic services, enter the date of the initiation of the course of treatment and enter the date of xray (if used to demonstrate subluxation) in item 19. Medicare does not use qualifiers. For commercial claims: Enter the date of the first date of the present illness, injury, or pregnancy. For pregnancy, use the date of the last menstrual period (LMP) as the first date. Enter the applicable qualifier to identify which date is being reported (e.g., 431 Onset of Current Symptoms or Illness, 484 Last Menstrual Period). This is where the National Provider Identifier (NPI) number goes. As part of the enrollment process, all providers must apply for an NPI number. Authorized under the HIPAA Simplification Rule, the NPI is a unique identification number for all HIPAA-covered entities, including individuals, organizations, home health agencies, clinics, nursing homes, residential treatment homes, laboratories, ambulances, group practices, and health maintenance organizations (HMOs). Sets with similar termsWhat is the purpose of the CMS 1500?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 ...
How many boxes do I need to fill in CMS 1500?There are 33 boxes in a CMS-1500 form. All of these boxes must be filled for the insurance claim to pass through.
How many diagnoses can be reported on the CMS 1500?Up to twelve diagnoses can be reported in the header on the Form CMS-1500 paper claim and up to eight diagnoses can be reported in the header on the electronic claim. However, only one diagnosis can be linked to each line item, whether billing on paper or electronically.
What is the proper format for entering a patient's name on a CMS 1500?NOTE: The recipients' 13-digit Medicaid ID number must be used to bill claims. The CCN number from the plastic ID card is NOT acceptable. The ID number must match the recipient's name in Block 2. 2 Patient's Name Required – Enter the recipient's last name, first name, middle initial.
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