CMA surveys health plans on implementation plans for CMS 1500 claim form March 27, 2014 Medi-Cal, Medicare ICD-10, Practice Resources, CMS, Insurance/Reimbursement 0 The California Medical Association (CMA) surveyed the major payors in California to find out which of them will follow the Centers for Medicare and Medicaid Service’s (CMS) lead and require submission of paper claims on the new CMS 1500 form (version 02/12 OMB control number 0938-1197). CMS will no longer accept claims on the old forms effective April 1. CMA’s survey found that some health plans will require the new 1500 version on April 1, others will allow for continued submission of the previous version. To view a detailed breakdown by plan, click here. The revised form adds the following functionality: Indicators for differentiating between ICD-9 and ICD-10 diagnosis codes. Expansion of the number of possible diagnosis codes to 12. Qualifiers to identify the following provider roles (on item 17): Ordering Referring Supervising Physicians should note that while the new claim form includes fields for ICD-10 codes in preparation for the transition in October 2014, practices should continue to submit only ICD-9 codes until notified otherwise by payors. Contact: CMA's reimbursement helpline, (888) 401-5911 or economicservices@cmanet.org. Comments are closed.
