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Instruction of filling 1500 CMS forms
Possible Mistakes that can occur
Word Document production
Guidelines on how to complete 1500 CMS form
Step I. The form is best filled out by starting with the first section where the patients fill out his/her assurance provider. The patient should carefully tick where his/her insurance is eligible for i.e. Medicare, Medicaid, etc.
Step II. The patient's personal data is copied directly from his/her chart section carefully into the 1500 CMS form. Ensure that there are no mistakes to correct such as address, name, age, etc.
Step III. Particular attention is required in box four such as double checking since some patients have more than one assurance. Hence, Medicare needs the data to bill the patient correctly.
Step IV. Carefully note section 9 which needs to be completed except if the client has agreed to convey their Medigap to the body which provided maintenance through his/her sickness.
Step V. complete boxes showing whether the event is linked to accident or employment in section 10.
Step VI. Establish, which assurance cover is applied to a certain incident in section 11 by clearly marking Medicare, Medicaid, etc.
Step VII. Section 12 and 13 is kept for billing authority and should be filled out carefully by billing expert ensuring that there is no overcharging to the client for servicers or underpaying to the service provider. Section 14 and 15 need data showing whether the patient was previously treated for the same disease or not at the institution.
Step VIII. Precise information about patient’s illness and treatment to be filled in section 16 to section 24. Physician names, service dates, cost, procedures must be clearly shown.
Step IX. The COPD data should be entered in Section 21 for accurate billing of subsidiary services provided to clients.
Step X. if the client is a recipient of Medicaid, Section 22 and 23 are filled but if the patient cover is delivered by one to the Institute, a pre-authorization code is filled into section 23.
Possible mistakes that can occur
There are two joint mistakes when completing 1500 CMS forms;
Wrong filling out of patients or physician personal data which include insurance number, assurance companies, and information services provided. These data needs to be cross-checked to ensure the information is correct.
Coding issues such as auditors call coding mistakes. Billing expert must be conversant with explicit programs for each particular method service the patient gets during his/her treatment. Coding errors must be avoided such as unbundling codes, diagnosis miscoding, misinterpretation of physician reports, etc.
