tci Medicare Compliance & Reimbursement - 2014 Issue 10

Reader Question: It's Time to Use New Claim Form

Question: I need some help concerning the rules for billing on the new CMS-1500 form. We have been told that any date of service before April 1 could still be billed on the old form, but I just got a letter from Tricare stating that all dates of service billed after April 1 must be on the new form, even claims that are being rebilled from March. Can you advise? Answer:CMS will only accept the new form effective April 1, even if you’re billing older dates of service. Although private payers may not be as strict, Tricare is...

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