Update on New Version of the CMS 1500Form
The National Uniform Claim Committee has announced changes to the CMS 1500 Claim Form. There is a proposed timeline for implementation of the revised form once it has final approval from the Office of Management and Budget and CMS. Additional documentation on the proposed changes and timelines can be obtained by visiting the NUCC website atwww.nucc.org
An unofficial PDF version of the proposed claim form is available on the NUCC website. Instructions on how to obtain an unofficial version for testing purposes are also listed on the NUCC website.”The NUCC is releasing the revised version of the 1500 Health Insurance Claim Form (version 02/12) that will accommodate Version 5010 837P changes and ICD-10 implementation. This revised version will update the current 1500 Claim Form (version 08/05), often referred to as the “HCFA 1500″ or “CMS 1500.”
The following are the various documents related to the revised 1500 Claim Form. These documents include:
- The 1500 Claim Form in plain, grid, and template formats 0212 1500 Claim Form
- A change log outlining the changes from the current version to the revised version 0212 Change Log
- A draft reference instruction manual 0212 Draft Instruction Manual
- The transition timeline 0212 NUCC Recommended Transition Timeline
- The announcement about the revisions to the 1500 Claim Form 0212 1500 Claim Form Announcement
The revised 1500 Claim Form has been submitted to the Centers for Medicare & Medicaid Services (CMS) for approval for use with federal programs, such as Medicare. The revised form will also undergo approval by the Office of Management and Budget (OMB) prior to being finalized.”
Seacoast will continue to provide periodic updates as CMS works to finalize the new Claim Form.
ICD-10 Industry Update
The following is an excerpt from the Centers for Medicare & Medicaid Services (CMS) ICD-10 Website at http://www.cms.gov/Medicare/Coding/ICD10/index.html?redirect=/ICD10.
HHS proposes one-year delay of ICD-10 compliance date;
“On April 17, 2012 the Department of Health and Human Services (HHS) published a proposed rule that would delay, from October 1, 2013 to October 1, 2014, the compliance date for the International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10).HHS proposes that covered entities must be in compliance with ICD-10 on October 1, 2014.”
During the next 30 days, Seacoast anticipates a rush to comply with the federally mandated deadline for the 5010 conversion. Please notify your Support Representative as soon as you receive new 5010 Electronic Remittance Advice (ERA) files from your carriers to avoid delays in upgrading existing 4010 ERA files to meet the new standards for electronic format. As always, feel free to ask questions of project managers Beth Huddleston or Jess Hodges who have provided these updates.