Covered services provided through FPP are reimbursed per TAC Chapter 355 Grantees may seek reimbursement for costs with one of the following methods: submitting monthly vouchers for expenses outlined ...

In Aetna Health Inc. v. Davila, the U.S. Supreme Court set forth a two-prong test to determine whether federal jurisdiction exists over a plaintiff’s claims. The CMS-1500 Health Insurance Claim Form ...

CMS has updated its 1500 Claim Form to prepare for the ICD-10 code set. The new CMS-1500 form version 02/12 will replace the version 08/05 and give providers the choice of using ICD-9 or 10 diagnosis ...

This past Tuesday, the National Uniform Claim Committee, or (NUCC), released an approved transition timeline for the new CMS 1500 form on their website. Recently, the NUCC announced the approval of ...

Medical claim form established by CMS to submit paper claims to Medicare and Medicaid. Most commercial insurance carriers also require paper claims be submitted on CMS 1500s. The form is distinguished ...

Is the patient covered by Medicare? Patients must have current coverage for Medicare to reimburse CNSs or other providers. If a patient is enrolled in a Medicare + Choice program (managed care), the ...