Certified Medical Assistant (CMA AAMA)Administrative: Billing, Coding and SchedulingEasy

A medical assistant is preparing to submit a claim for a patient who had an office visit and several laboratory tests performed in-house. Which of the following forms is universally accepted for submitting professional claims to payers?

  1. AUB-04
  2. BCMS-1450
  3. CHCPCS Level III
  4. DCMS-1500
Show answer & explanation

Correct answer: D. CMS-1500

The CMS-1500 form is the standard claim form used by physicians and other non-institutional providers to bill for professional services. It is widely accepted by Medicare, Medicaid, and most commercial insurance carriers.

Why the other options are wrong

  • A. The UB-04 form is used by institutional providers like hospitals for billing, not for professional services.
  • B. The CMS-1450 is another name for the UB-04 form, used for institutional billing.
  • C. HCPCS Level III codes are local codes, not a claim form, and are rarely used anymore.

CMS-1500 Claim Form

A standardized paper claim form used by physicians and other non-institutional providers to bill for professional services.

  • Used for professional (physician) services.
  • Accepted by Medicare, Medicaid, and most commercial insurers.
  • Contains patient, provider, and service information.

Memory trick: CMS-1500: 'C' for Clinic, 'M' for Medical Assistant, 'S' for Services.

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