Does Every Small Medical Office Need The HCFA CMS 1500 Form

This can get confusing…

There are so many forms that you need to fill out when working within a medical billing office. I guarantee you, it gets confusing to medical office staff. In most offices, the HCFA CMS 1500 form is the most widely used document submitted for reimbursement. Initially the form was called the HCFA 1500. However, it was renamed the cms 1500 form 02/12 form. The name change came as a result of the Centers for Medicare and Medicaid Services.


Some Medicaid State Agencies require this form to process billing.

This standard form is used to claim by suppliers and non-hospital providers. The rule is that you must file the form with the payer within 365 days of providing the service to your patient. Downloading or photocopying the form is not recommended, as it’s printed with a specific type of ink. For the sake of speed and efficiency, the payers typically use Optical Character Recognition technology to scan the information, and process the requests for payment.


Any blood work done typically requires a CMS 1500 filed for insurance payment.
Any blood work done typically requires a CMS 1500 filed for insurance payment.

If the form is not exact it will not be read correctly.

The scan reads what has been added to the form making it extremely important you have the exact form. To ensure your form submissions are successful, use the latest form edition, and the correct ink color and quality. If you ignore these steps, delayed payments and rejections are almost inevitable.


Patient getting blood work done.
Patient getting blood work done.

Wait too long… and you may not get paid.

What’s worse is that if you wait too long to re-send the corrected form, there’s a chance you may not be paid at all. The bottom line is you need forms that are trustworthy. And as such, you need to find a quality provider. A smart choice is to order revised cms 1500 claim forms from a provider who has been in the industry for several years. The result of this diligence is a stream on timely insurance payments for your services rendered.


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