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Completing a Paper CMS-1500

Last update
April 2, 2019

Whether you’re filing your CMS-1500 electronically or on paper, Daisybill is here to help keep you compliant. This video is DaisyBill’s step-by-step guide to filing a paper CMS-1500.

Video Summary

Uniform billing requirements for health providers have made the CMS-1500 Form central to medical billing for healthcare professionals. In Coding a CMS-1500 Form, DaisyBill walks through the form comprehensively; showing you how to file compliant paper CMS-1500 forms and answering the many questions that arise along the way.

Labor Code Specifications

The CMS-1500 Form must:

  • Be the only form used by healthcare providers to file compliant workers’ compensation payment requests for services rendered, per uniform billing requirements in California Labor Code: 4603.4.
  • Have all information on the paper version of the form typewritten, according to the California DWC Medical Billing and Payment Guide.
  • Contain all of the required and situational information listed in the Medical Billing and Payment Guide. Appendix A lists the information which is required, situational, and optional when filling out the bill form.
  • Be filled out using ICD-10 Diagnosis Codes for all dates of service on or after October 1, 2015.
  • Have all required reports and supporting documentation attached. Review our article on Complete Bills to make sure you include everything you need with your CMS-1500.

Additional Resources

CMS-1500 Form

California Division of Workers' Compensation Medical Billing and Payment Guide 

ICD-10-CM Coding 

DaisyBill Resources

Finding Taxonomy Codes for the CMS-1500

Social Security Numbers and the CMS-1500

What Constitutes a Complete Workers' Comp Bill

Timely Payment in California

Penalty & Interest in California

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