Providers Who Wish to Continue to Submit CMS-1500 Paper Claim Forms to Medicare May Need to Act Now to Avoid Discontinuation of Their Administrative Simplification Compliance Act (ASCA) Exception Status

National Government Services (NGS) Medicare recently released the following information regarding paper claim submission:


New CMS 1500 Form Required Beginning April 1st

Beginning April 1, 2014, providers are required to use version 02/12 of the CMS 1500 claim form when submitting paper claims to Medicare.

Click here for additional information from National Government Services regarding the changes and for CMS-1500 claim form completion instructions.


Issues with Processing 1500 Paper Claims Filed to National Government Services 

The following notice was received from NGS Medicare

Beginning on April 1, 2014, all paper claims filed to NGS Medicare must be submitted using the revised form CMS 1500 Version 02/12.    All paper claim submissions using the older format will be returned to providers as unprocessable after April 1, 2014.


Revised CMS-1500 Paper Claim form (Version 02/12)

The CMS-1500 form, the claim form that is required for submitting paper Medicare claims, has been updated. It is anticipated that beginning April 1, 2014 Medicare will no longer accept claims that are submitted on the old CMS-1500 (Version 08/05).


CMS Announces 2014 RVU Values Substantially Increased for Psychotherapy Add-on Codes

On November 29, 2013, CMS issued its interim final rule establishing Medicare RVU values for 2014.  CMS accepted all the increased values recommended by the RUC for the new psychiatry psychotherapy codes to be used only in combination with an E/M code. 

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