Ans) only those diagnosis, conditions and procedures services that are documented in the patient record as having been treated or medically managed.
Explaination:
- Form CMS-1500 contains all the basic information needed to submit an accurate claim.
- This includes fields for the patient’s demographic information, insurance information, and boxes in which to provide medical codes and corresponding dates of service.
- Certain boxes are used exclusively for Medicare and/or Medicaid. It is important to note that different payers may provide different instructions on how to complete certain item numbers.
- The medical biller and coder should be familiar with specific payer requirements before filling out the form.
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