August 22, 2018
New York Billing: CMS-1500 Field 19 (Additional Claim Information)
New York State workers’ comp billing is in transition. Ultimately, the state will make a full, mandatory switch to e-billing. But before that, starting on January 1, 2019, providers may begin using the universal CMS-1500 billing form.
Like any transition, the switch to the CMS-1500 has its challenges. One portion of the form, in particular, has raised concerns among New York providers: Field 19 for Additional Claim Information.
Here, we explain exactly how to complete this section.
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August 15, 2018
NY Workers' Comp Billing: How to Complete the CMS 1500
Starting January 1, 2019, New York workers’ comp providers may submit original bills using the CMS 1500 form, rather than New York-specific forms C-4, C-4.2, OT/PT-4, PS-4, and C-AMR. Providers nationwide use the CMS 1500 to bill Medicare and group health plans for professional services.
But while the CMS 1500 is a universal billing form, workers’ comp differs significantly from Medicare and group health. The New York Workers’ Compensation Board (WCB) will therefore impose specific requirements for properly completing this form in a workers’ comp context.
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