Medical billing and coding systems ensure that health providers get paid for their services. Learn the steps in medical ...

Every CMS-1500 claim includes a set of certifications, attestations, and legal statements printed on the reverse side of the form. While these statements may seem like standard administrative language ...

Effective July 1, 2025, we will be expanding the alternate fee sources provided by RJ Health Systems, one of our current alternate fee sources, to include Wholesale Acquisition Cost (WAC) pricing for ...

The New York State Workers’ Compensation Board is holding a series of educational sessions ahead of a coming mandate that providers submit CMS-1500 medical billing forms electronically. The WCB last ...

Health care providers who deliver home infusion care to UnitedHealthcare Community Plan of Kentucky Medicaid members must register as both a pharmacy provider (PT 54) and a durable medical equipment ...

In Aetna Health Inc. v. Davila, the U.S. Supreme Court set forth a two-prong test to determine whether federal jurisdiction exists over a plaintiff’s claims. The CMS-1500 Health Insurance Claim Form ...

CMS invited public comment on the standard form that health care providers use to submit claims to CMS for reimbursement. This form has a great impact on how Medicare, Medicaid, and CHIP, as well as ...

Roots Automation has announced the upcoming 2022 launch of a new product, Iris. Iris will be the first niche SaaS platform to accurately extract data from CMS-1500 medical claim forms for insurers and ...

CMS is set to begin accepting only new versions of its 1500 claim form April 1, according to a report from AMA Wire. The agency will accept both paper and electronic versions of the new 1500 form, ...

CMS has updated its 1500 Claim Form to prepare for the ICD-10 code set. The new CMS-1500 form version 02/12 will replace the version 08/05 and give providers the choice of using ICD-9 or 10 diagnosis ...