New CMS-1500 Form Effective April 1, 2014

Mirean Coleman, MSW, LICSW, CT

Clinical Social Work

Practice Perspectives


The National Uniform Claim Committee (NUCC) was created in 1995 to develop a standardized data set for use by the non-institutional health care community to transmit claim and encounter information to and from third-party payers. The committee recently announced revisions to the CMS-1500 form which is used by clinical social workers and other health care providers to submit claims for reimbursement of services. The Centers for Medicare and Medicaid Services (CMS) and the Office of Management and Budget (OMB) have approved the revised CMS-1500 paper claim form, OMB-0938-1197 FORM 1500 (02-12). These numbers are located at the bottom right hand corner of the revised form.

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