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In the different Blocks on the CMS 1500 form, choose a section of Blocks (as discussed in the unit) Review the following documents then answer

In the different Blocks on the CMS 1500 form, choose a section of Blocks (as discussed in the unit)

Review the following documents then answer the following questions:

  • https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c26.pdf(Links to an external site.)
  • https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2019Downloads/R4201CP.pdf(Links to an external site.)
  • http://www.nucc.org/images/stories/PDF/1500_claim_form_instruction_manual_2012_02-v6.pdf
  • List the Block Numbers (i.e., Blocks 1-8),
  • Describe what information goes into the Blocks
  • Discuss any formatting requirements for the Blocks and what happens to a claim if the formatting is incorrect.
  • In the second document above, CMS discusses Incomplete or Invalid Submissions. Explain how the Part A/Part B Medicare Administrative Contractors (MAC) handles these types of claims. CMS also discusses the difference between a "clean claim" and "other-than-clean claims." Explain in your own words the timeliness standards for processing for "other-than-clean claims."

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