Brief explanation of the claims process

Reference no: EM132485340

Claims Assignment

Write a 2 page paper about the CMS1500 claim form and the claims submission process.

Include the following:

Question 1. An explanation of what the CMS1500 is and what it is used for.

Question 2. Important dates and events in the creation and revision of the form.
• What version of the CMS-1500 became effective 1 October 2014?
• What were the major revisions on the CMS-1500 (08-05) version?

Question 3. A description of the organization that developed the form.

Question 4. A brief explanation of the claims process.

Question 5. Definitions of the following terms, along with an example of each.
• Clean claim
• Rejected claim
• Pending claim
• Incomplete claim
• Invalid claim
• Dirty claim
• Deleted claim

Question 6. A short description of the necessary components of a successful claim. Include discussion of demographics, authorizations, and clinical documentation.

Attachment:- Claims Assignment.rar

Reference no: EM132485340

Questions Cloud

Discuss the plan of action you will follow : You are appointed as the CEO of a new organisation and see it as an imperative to develop and implement a code of ethics.

How to manually get the numbe : If you have an excel formula for getting the actual portfolio return that would be very helpful. If not, please show how to manually get the number.

What is the total dollar amount credited to additional paid : The par value of all common stock is $10. What is the total dollar amount credited to additional paid in capital - common stock on August 1, 2018

Computing the expected time : If the activity variance is 12, what is the expected time?

Brief explanation of the claims process : Write a 2 page paper about the CMS1500 claim form and the claims submission process - What were the major revisions on the CMS-1500 (08-05) version

Determine the dollar amount that Brunswick will report : No other stock transactions occurred during the rest of fiscal year 2018. Use this information to determine the dollar amount that Brunswick will report

How much income would mark the report : Assume, instead of $1,500,000, the latest forecast of total costs at the end of 2019 was $2,050,000. How much income (loss) would Mark the report

What total dollar values that Easton Company should record : What the total dollar values that Easton Company should record for the Unrealized Gain or (Loss) on Trading Securities for 2018

Determine the responsibility of project manager : You are employed as a supervisor at the local mail distribution centre. The centre wishes to develop a new staff recruitment and selection process

User Account

All Pages