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Medicare Billing: 837P & Form CMS-1500

Lesson 3 Summary

  • Most Medicare claims need to be sent electronically, but sometimes you can use paper if you meet certain conditions, like having a small health care business or being part of a specific Medicare project.
  • Sometimes, unusual situations like power outages can also let you use paper claims.
  • If you want to use paper claims instead of electronic ones, you must get pre-approval from Medicare.
  • Medicare monitors people who do 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 Form CMS-1500. It’s designed for Medicare providers to fill out.