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Medicare Billing: CMS-1500 & 837P

Lesson 2 Summary

  • Most Medicare claims must be sent electronically, but sometimes you can use paper claims if you meet certain conditions, like having a small health care business or being part of a specific Medicare project.
  • Sometimes, you can use paper claims for unusual situations like power outages.
  • If you want to use paper claims, you must get pre-approval from Medicare.
  • Medicare monitors people who submit lots of paper claims to make sure they’re following the rules.
  • When you submit paper claims, you must use a specific form called the CMS-1500. It’s designed for Medicare providers.