The Centers for Medicare and Medicaid Services (CMS) has mandated the HCFA-1500 (CMS-1500) claim form for healthcare professionals requesting reimbursement for outpatient services covered by Medicare Part B. CMS-1500 is used by individual physicians, nurses, and other healthcare providers who bill Medicare, government insurers, and commercial insurance carriers. The claim may also include durable medical equipment and various ancillary charges.
To help our facilities navigate CMS-1500 claims processing, AMD Global offers a customizable software suite that saves providers substantial time and money in billing and filing claims. Our platform gives clients the advantages of flexible provider settings, pre-payment patient authorization, payer fee schedule monitoring, and streamlined tracking of authorized diagnoses and procedures.
AMD Global’s CMS-1500 platform also expedites payments and improves overall revenue cycle accuracy and performance. Besides entering all required codes, providers must also verify insurance, track authorizations, generate re-collection notifications, and report on other financial information.
Any non-institutional provider or supplier can use the CMS-1500 to file claims, including:
- Physicians and Physician Practices
- Physician Assistants
- Nurse Practitioners
- Clinical Nurse Specialists
- Nurse Midwives
- Certified Registered Nurse Anesthetists
- Clinical Psychologists
- Clinical Social Workers
- Home Dialysis Supplies and Equipment
- Ambulance Services
- Clinical Diagnostic Laboratory Services