AMA Wire

Wednesday, July 24, 2013

Practice News

CMS 1500 gets an upgrade: New claim form adopted

A newly approved version of the CMS 1500 claim form is designed to accommodate the new reporting needs tied to the ICD-10 code set and current standards for electronic health care transactions.

The updated claim form, dubbed "version 02/12," includes revisions that should improve the accuracy of data reported. Two changes are of special note:

  • 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.
  • 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, and 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.

Version 02/12 of the CMS 1500 claim form, updated by the National Uniform Claim Committee, has been approved by the Centers for Medicare & Medicaid Services and the Office of Management and Budget.

Group discusses solutions for practice automation

A new AMA LinkedIn group offers a forum in which physicians and others can discuss the latest issues in automating the physician practice and share advice for making the claims revenue cycle run smoothly.

Group members can pose questions, comment on discussions and learn from the experiences of their peers around the country. Topics include:

  • Best practices in administrative simplification.
  • Step-by-step tips on incorporating electronic remittance advice, electronic funds transfer and other electronic transactions into the claims revenue cycle.
  • Solutions to real-life challenges in practice automation.

The group, which launched earlier this year, is open to physicians, practice staff, consultants and other health care partners. If you're not one of the 200 million people already on LinkedIn, you can create a free account to get started.