Medicare has indicated they will begin accepting the revised CMS-1500 form on January 6, 2014. After April 1, 2014, Medicare will only accept this newly revised form. Only those providers who qualify for exemptions from electronic submissions may submit a paper claim for to Medicare. All other providers are encouraged to work with their vendors to ensure electronic claim transactions will be ready for the ICD-10 transition.
New Claim Form Adopted
News item posted on 7/1/13
A new version of the CMS 1500 claim form has been approved by the Centers for Medicare & Medicaid Services and the Office of Management and Budget.
The updated claim form, dubbed "version 02/12," includes revisions that should improve the accuracy of data reported. Two changes are of special note:
ICD-9 Or ICD-10
Physicians will be able to identify whether they are using ICD-9 or ICD-10 as the reporting diagnosis code set. This capability will be particularly important during the transition to the new code set, which is scheduled to take place in 2014.
New Coding Limit
The diagnosis field will allow up to 12 codes instead of the current limit of four.
While the start date for using the revised form has not been announced yet, physician practices that submit paper claims should not purchase large quantities of the current form. Practices that submit electronic claims should speak to their software vendors to determine how and when their practice management systems will be updated to accommodate the new form. AANEM will alert members when the transition date is made public.