New CMS Forms Required as of April 1

Starting April 1, 2014, Medicare will accept only the revised version of the form.

With the transition to ICD-10 set to take place Oct. 1, 2014, the U.S. Centers for Medicare & Medicaid Services (CMS) has revised the CMS-1500 claim form. The revised form more adequately supports the use of the ICD-10 diagnosis code set.

The revised form (version 02/12) replaces the current form, (version 08/05). Medicare began accepting the revised form Jan. 6, 2014. More important, starting April 1, 2014, Medicare will accept only the revised version of the form.

New CMS 1500 claim forms are available for purchase through the AOA Marketplace.

Prepare for the transition

In preparation for the ICD-10 transition, the revised form gives providers the ability to indicate whether they are using ICD-9 or ICD-10 diagnosis codes.

ICD-9 codes must be used for services provided before Oct. 1, 2014, while ICD-10 codes should be used for services provided on or after Oct. 1, 2014. The revised form also allows for additional diagnosis codes—expanding from four possible codes to 12.

Only providers who qualify for exemptions from electronic submission may submit the paper CMS-1500 Claim Form to Medicare. The CMS encourages practices that use service vendors to determine when they will switch to the new form.

More infomation can be found in the March edition of AOA Focus (p. 50).

March 18, 2014

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