Attention to Detail and the CMS-1500 Claim Form

Producing a clean claim is one of the important goals for billing specialists. Attention to detail and accuracy should be at the forefront when submitting a CMS-1500 claim form for reimbursement. Ensuring that the insured person’s name is exactly as it appears on their insurance card is one step toward producing a clean claim. Additionally, reviewing a completed Medicare claim could be one of your main responsibilities. Discuss steps you would take to make sure that you followed all billing guidelines for submitting your CMS-1500 claim form for reimbursement.

Analyze a completed Medicare claim to identify potential causes for denial.

Include the following aspects in the discussion:

· A minimum of three specific reasons for a claim rejection

· Give a specific example for each of the three reasons

· Identify any errors that you may have found on your completed claim

· Discuss at least three steps that you would take to produce a clean claim

· Discuss some of the other reasons a claim can be rejected or denied