Lesson 4 Summary
- The CMS-1500 and 837P require codes like ICD-10, CPT, HCPCS, and any necessary modifiers
- Medicare reimburses for specific items or services only when authorized physicians or health care professionals order or refer them
- You must report specific events about your enrollment record to CMS within 30 days
- You must correctly report patient names and Medicare numbers as shown on the Medicare card
- Medicare pays claims for certain providers or suppliers only on an assigned basis
- Medigap insurers can use automatic or claim-based crossovers for processing claims