I have done my cms 1500 form but I want to make sure that I did it correctly.
Here it goes:
i tried to post it but it will not allow
If you tried to copy and paste something (especially if it’s a numbered or bulleted list), it did not work. You’ll need to type it in by hand.
is there an email that I can post an attachment?
No, you will need to type it, as I said above.
No.
The only way we can see it is if you type it here.
Also -- it's doubtful if any of our Jiskha tutors will be able help you with the "cms 1500 form."
This is a cms 1500 form.
Part One:
Resources: Appendix A, Appendix C, and Table 8.3 on pp. 258–259 of Medical Insurance
Refer to Table 8.3 on pp. 258–259 of your text to complete the CMS-1500 form, located in Appendix C, according to the following case study:
A 67-year-old Medicare patient presents to the office, exhibiting symptoms of HIV infection. After detailed examination, symptoms are determined to be advanced AIDS with manifestation of Kaposi’s sarcoma and other opportunistic infections.
Name: James Brown
Account Number: 080811
Insurer: Medicare
Policy Number: 1098765
ID number: 12345678910
DOB: 02/01/1940
Gender: Male
Insured: James Brown
Address: 1600 Pennsylvania Ave.
Wash. D.C. 60000
Marital Status: Widowed
Patient’s Employer: Retired
Nature of Condition: HIV, AIDS, Kaposi’s sarcoma
Date of Illness: 06/01/2007
Referring Physician: Thomas Glassman, M.D.
Physician ID: 1080808080
Federal Tax ID: 5551116679
Dates of Service: 06/01/2007, 06/15/2007, 07/07/2007, 08/01/2007
Procedure: Detailed examination, screening blood panel, pathology services
Patient Signature
Include ICD (categories only), CPT, HCPCS, and insurance information.
If you believe there is insufficient information provided to fill a required field with data, indicate this by typing N/A.
The answers that I need to make sure I have correct are 21. 1. V08 2. O42 3. 176.9
24. The part D. 1. 99214 2. 80050 3. 80502 and the last one is N/A I just wanted to make sure that I had these correct.
Thank you.
If you have completed your CMS 1500 form and want to ensure that it has been filled out correctly, there are a few steps you can take to confirm its accuracy:
1. Review the form's instructions: Familiarize yourself with the CMS 1500 form's instructions, which can be found on the Centers for Medicare & Medicaid Services (CMS) website. These instructions outline the proper way to complete each section of the form.
2. Double-check the information: Go through each field on the form and ensure that you have entered the correct details. Verify that the patient's demographic information, insurance information, and the services provided are accurately recorded.
3. Use online resources: Several online resources are available to validate the completion of your CMS 1500 form. You can use free or paid form-filling software that automatically checks for errors or inconsistencies in the form. Alternatively, you can utilize online forums where professionals or individuals familiar with the form can review your completed form and provide feedback.
4. Seek professional guidance: If you are unsure about certain sections or have specific questions about your completed form, consult with a healthcare professional, a billing specialist, or someone knowledgeable in medical coding and billing. They can review your form and identify any potential issues or errors.
Regarding the issue you mentioned about not being able to post the form, I assume you are referring to an online submission. In this case, ensure that you are following the correct submission process and that you have provided all the required information. If you encounter technical difficulties, reach out to the platform's support team for assistance.
Remember, it is crucial to maintain accuracy and compliance when completing healthcare forms like the CMS 1500 to ensure proper reimbursement and avoid potential issues.