Billing & ClaimsPregunta 33 de 100
The CMS-1500 claim form is used primarily to bill for:
a.Inpatient hospital facility charges
b.Professional services rendered by physicians and other non-institutional providers
c.Pharmacy prescriptions filled at a retail counter
d.Ambulance mileage only
Explicación
The CMS-1500 is the standard paper claim form for physician and other professional (non-institutional) services submitted to Medicare, Medicaid, and many commercial payers. Its electronic equivalent is the 837P transaction. Institutional charges, such as hospital facility fees, are billed on the UB-04 instead.
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Preguntas relacionadas de este tema
- The UB-04 (CMS-1450) claim form is used to bill for:
- A 'clean claim' is best defined as a claim that:
- Claim 'scrubbing' refers to the process of:
- A remittance advice (RA) or explanation of benefits (EOB) is a document that:
- When a claim is denied, the first appropriate step for a billing specialist is usually to:
- The difference between a claim rejection and a claim denial is that a rejection:
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