Bulletin-New CMS 1500 Form Deadline As of April  1, 2014 the current CMS1500 form will no longer be valid.  Providers can start using this form as early as Jan 1 2014, but come April 1, they will need the new CMS1500 form which is only available in the Version 19 of Medisoft.  CMS1500 Health Insurance Claim Form Change Log The following is the list of changes between the 1500 Claim Form 08/05 version and the 02/12 version. CMS1500 Sample Form

1500 Health Insurance Claim Form - Version 02/12 Revised by the National Uniform Claim Committee (NUCC)

Paper Claim for use by Physicians, Providers & Suppliers Approved by Centers for Medicare & Medicaid Services (CMS)

The new CMS-1500 (version 02/12) will replace the previous form (version 08/05), with only minor changes to the form.

The White House Office of Management and Budget (OMB) has approved and designated the form OMB Number 0938-1197.

Since 2009, the NUCC has been working to update the paper claim to accommodate ICD-10 reporting, and to bring uniformity with the current Electronic Health Care Claims requirements.

Transition TimelineThe NUCC is recommending the following timeline for the transition to the revised 1500 Health Insurance Claim Form (version 02/12):

January 6, 2014: Medicare begins receiving and processing paper claims submitted on the revised CMS 1500 claim form (version 02/12).

January 6th through March 31, 2014: Providers can submit either the current (08/05) or the revised (02/12) 1500 Claim Form. During this dual use period, health plans, clearinghouses, and other support vendors will begin to accept and process either version of the form. Providers should check with their payer and/or clearinghouses to determine when they will begin to accept the revised forms.

April 1, 2014 - Medicare will process only the version 02/12. The current (08/05) 1500 Claim Form will be discontinued and only the revised (02/12) 1500 Claim Form is to be used.

Medicare will receive and process paper claims from health care professionals and suppliers who meet the exceptions below, set forth in the Administrative Simplification Compliance Act (ASCA). Providers are required to self-assess to determine whether they are permitted to submit a paper claim, which is an exception to HIPAA – Health Insurance Portability and Accountability Act – that mandates the healthcare industry use standard formats for electronic claims transactions.

• A Small Provider that have fewer than 25 full-time employees
• Physician, practitioner, or supplier with 10 FTEs or less that bills a Medicare carrier
• Submitting dental claims for injury treatments that are covered as medical benefits
• Medicare demonstration project in which paper claim filing is required
• A provider that conducts mass immunizations
• A provider that only furnishes services outside of the United States
• Disruption in Electricity or Phone/Communication Services
• A provider that can establish an "unusual circumstance"
• Provider is not small, but submits fewer than 10 claims per month on average
• Non-Medicare Managed Care Organizations

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Past Archives

July 2013 - 30%  Discount on Medisoft and Medisoft Clinical