In Aetna Health Inc. v. Davila, the U.S. Supreme Court set forth a two-prong test to determine whether federal jurisdiction exists over a plaintiff’s claims. The CMS-1500 Health Insurance Claim Form ...

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If you are a practitioner who bills insurance or plans to in the future, there are some changes you need to be aware of which take effect in a couple of months. Remember that old, pink CMS-1500 (HCFA) ...

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SEATTLE, Sept. 18, 2018 /PRNewswire/ -- Paperless Productivity®, maker of ClaimsCapture, has released industry benchmarks for data capture automation and announced forthcoming global implementation ...

NEW YORK (360Dx) – A recent ruling by a federal court in Washington DC is causing alarm in the laboratory industry about whether labs could be legally held responsible for determining the medical ...

CMS is set to begin accepting only new versions of its 1500 claim form April 1, according to a report from AMA Wire. The agency will accept both paper and electronic versions of the new 1500 form, ...

CMS has updated its 1500 Claim Form to prepare for the ICD-10 code set. The new CMS-1500 form version 02/12 will replace the version 08/05 and give providers the choice of using ICD-9 or 10 diagnosis ...

With Injectable Claims, the root problem in the submission process is that payers cannot read NDC numbers on CMS 1500 forms, and there is no process in place to require providers to include such a ...

Is the patient covered by Medicare? Patients must have current coverage for Medicare to reimburse CNSs or other providers. If a patient is enrolled in a Medicare + Choice program (managed care), the ...