New CMS 1500 Form for 2014

The National Uniform Claim Committee (NUCC) maintains the CMS 1500 claim form and revises the form periodically as claims submission needs change.  NUCC recently issued an updated version of the form and the U.S. Centers for Medicare and Medicaid Services (CMS) has indicated that they plan to begin accepting the revised version on January 6, 2014. However, CMS will not require Medicare providers to use the updated form until April 1, 2014.  Until April 2014, providers can submit either the revised version CMS-1500 (version 02/12) or the present version CMS-1500 (version 08/05).  CMS has provided updated instructions for completing the revised CMS 1500 form in the Medicare Claims Processing Internet Only Manual(IOM, Pub. 100-04) Chapter 26.

The revised form includes several changes.  The form has been updated to accommodate the implementation of ICD-10 and will allow for 12 diagnosis codes to be reported. Providers will also be able to identify various roles such as ordering, referring or supervising provider. For a complete overview of the form changes visit the NUCC website.     

As a reminder, the Administrative Simplification Compliance Act (ASCA) requires that Medicare claims be sent electronically unless certain exceptions are met. Some Medicare providers qualify for these exceptions and submit paper claims to Medicare. For more information on electronic claims submissions exceptions please visit the CMS Administrative Simplification Compliance Act Self-Assessment webpage.

The updated CMS 1500 form can be purchased through the AOA's marketplace by calling 1-800-262-2210.