The next revision of the CMS 1500 form - To be implemented in Jan. 2014, but called the 02/12 version

EASYCMS 1500 Form Filler

EASY CMS Plus

UB 04 Software

CMS 1500 Claim Forms

UB 04 Claim Forms

Insurance Tracker Software

EASYHCFA 485 Form Filler

Shipping Envelopes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

click To Order software and forms for the 02/12 revision

The CMS 1500 Claim Form has been Revised for Effective Date of Use on January 6, 2014 (tentative). The form will say 02/12 in the lower right, replacing the current 08/05 version.

The National Uniform Claims Committee (NUCC) has approved a transition timeline for the version 02/12 1500 Health Insurance Claim Form (1500 Claim Form). In June, the NUCC announced the approval of the updated 1500 Claim Form that accommodates reporting needs for ICD-10 and aligns with requirements in the Accredited Standards Committee X12 (ASC X12) Health Care Claim: Professional (837P) Version 5010 Technical Report Type 3.

The NUCC approved the following transition timeline at its in-person meeting in Chicago on August 1, 2013.

January 6, 2014: Payers begin receiving and processing paper claims submitted on the revised 1500 Claim Form (version 02/12).
January 6 through March 31, 2014: Dual use period during which payers continue to receive and process paper claims submitted on the old 1500 Claim Form (version 08/05).
April 1, 2014: Payers receive and process paper claims submitted only on the revised 1500 Claim Form (version 02/12).

This timeline aligns with Medicare's transition timeline.

We now have software for the revised form available . We also have the new forms available.

We are offering many of our customers the new software and forms at a significant discount as well as some fantastic 'bundles' of software, forms and our Insurance Tracker and/or Family Health Care Tracker Software.

We strongly recommend that providers contact their health plans prior to submitting a claim on the revised (02/12) 1500 Claim Form to ensure that they are prepared to accept the revised form.

The CMS 1500 claim form is the required format for submitting claims to Medicare on paper.

Features of the Revised Form

  • The revised form, among other changes, notably adds the following functionality:
    · Indicators for differentiating between ICD-9-CM and ICD-10-CM diagnosis codes.
    · Expansion of the number of possible diagnosis codes to 12.
    · Qualifiers to identify the following provider roles (on item 17):
    - Ordering
    - Referring
    - Supervising
    Tentative Timeline for Implementing the Revised Form for Medicare Claims
  • Medicare anticipates implementing the revised CMS 1500 claim form (version 02/12) as follows:
    - January 6, 2014: Medicare begins receiving and processing paper claims submitted on the revised CMS 1500 claim form (version 02/12).
    - January 6 through March 31, 2014: Dual use period during which Medicare continues to receive and process paper claims submitted on the old CMS 1500 claim form (version 08/05).
    - April 1, 2014: Medicare receives and processes paper claims submitted only on the revised CMS 1500 claim form (version 02/12).

Please feel free to email us again if you have any additional questions.

Check out our latest products Insurance Tracker Software
This Insurance Tracker Software program is a terrific little practice and insurance billing manager.

And see our web site for our other cool, new product… The Family Health Care Tracker. Family Health Care Tracker

Thanks.

LITTLE GUY SOFTWARE
56 So. Meadow Road
Plymouth, MA 02360

www.littleguysoftware.com

email sales@littleguysoftware.com

 

 

 

1998-2013   K.L. Laytin, Ph.D.   ALL RIGHTS RESERVED   
LITTLE GUY SOFTWARE and  littleguysoftware.com  are Registered Trademarks

Since 5/12/98
you are visitor to our company number