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Medicare Billing: CMS-1450 & 837I

Lesson 2 Summary

  • Submit initial claims electronically unless you qualify for a waiver or exception under the ASCA requirement for electronic claims submission
  • Self-assess to determine if you meet the ASCA exceptions
  • Medicare automatically waives providers from the electronic claim submission requirement who experience certain unusual circumstances
  • If you submit a high number of paper claims, your MAC may deny future claims unless you qualify for an exception or ASCA waiver
  • When you qualify to submit paper claims, you must use the CMS-1450 to bill a MAC