New Claim Form Causing Denials

Posted by on Apr 22, 2014 in Latest News | Comments Off

CMS recently redesigned their claim form so it could handle ICD-10 codes. We all know what happened to the ICD-10 deadline. We are seeing denials because some payers do not accept the old claim form. (CMS–1500 version 02/12 replaced version 08/05.)

We are finding some payers are denying claims billed under the older form, for example: As of 4/1/14 Florida Medicaid providers must use this new version of the form. Also, Total Claims Administration will no longer accept the CMS-1500 claim form (version 08/05) beginning April 1, 2014.