The CMS-1500 (HCFA) Form is used by healthcare providers and professionals to file original workers' compensation medical bills in Massachusetts.
Article Contents |
Navigation Link |
Filling out the Form |
|
Reporting Requirements |
CMS-1500 Form Instructions
The state of Massachusetts has no specific form requirements. It is recommended for providers to compliantly complete the CMS-1500 form as detailed in the following tables.
To make things easier for you, DaisyBill created this NUCC CMS-1500 Instructions Table showing the requirements of the National Uniform Claim Committee (NUCC), the entity which created and maintains the form. This information is provided for educational purposes only and is not intended to represent state-specific requirements.
For additional information, review the complete NUCC Manual:
1500 Health Insurance Claim Form Reference Instruction Manual for Form Version 02/12
CMS-1500 Required Documentation
CMS-1500 Medical Bill |
Recommended Documents |
Treatment |
Chart notes |
Surgery |
Operative Report |
Radiology |
Radiology Report (if billing for Professional Component) |
Laboratory |
Test Results Report |
Diagnostic Testing |
Test Results Report |
For additional information related to reporting please refer to DaisyBill’s Massachusetts Billing Guide.
DaisyBill Solution
Stay up-to-date on the latest developments in Workers’ Compensation medical billing by subscribing to DaisyBill’s email list.
SIGN UP FOR EMAILS