Educational Resources

Avoid claim delays - tips on how to avoid certain errors when completing the CMS-1500 (08/05) paper claim form.

A self-paced training course is available to assist providers with the specific situations when Medicare requires additional information or documentation.

The CERT contractor continues to report the number one reason overpayment letters are sent to providers is because of reasons found in this article. We encourage our providers to save time and money by reviewing the tips provided.

This document discusses the conditions and requirements of the Item fields within the CMS-1500 (08/05) paper claim form. [CMS IOM Pub 100-04, JSM 08048, CR 5858, CR 5890]

Tip sheet on the key components and documentation required when performing office or other outpatient consultation evaluation & management services (CPT codes 99241 - 99245). Includes references and Web addresses.

Tip sheet on the key components and documentation required when performing subsequent hospital care evaluation & management services (CPT codes 99231 - 99233). Includes references and Web addresses.

Tip sheet on the key components and documentation required when performing initial hospital care evaluation & management services (CPT codes 99221 - 99223). Includes references and Web addresses.

Tip sheet on the key components and documentation required when performing office or other outpatient evaluation & management services for established patients (CPT codes 99211 - 99215). Includes references and Web addresses.

Tip sheet on the key components and documentation required when performing office or other outpatient evaluation & management services for new patients (CPT codes 99201 - 99205). Includes references and Web addresses.

Tip sheet on the key components and documentation required when performing inpatient consultation evaluation & management services (CPT codes 99251 - 99255). Includes references and Web addresses.