SmartForms software simplifies the preparation and filing of CMS-1500 claims and allows the user to save patient claim data for updating and reuse on subsequent visits. Print on red preprinted Medicare forms, on plain paper or submit claims electronically. Never worry about alignment again with SmartForms unique self-alignment tool. Instructions for Completing the CMS 1500 Claim Form The Center of Medicaid and Medicare Services (CMS) form 1500 must be used to bill SFHP for medical services. The form is used by Physicians and Allied Health Professionals to submit claims for medical services. All items must be completed unless otherwise noted in these instructions.
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- Cms 1500 Claim Software
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SmartFormsis a term used to describe an electronic form with capabilities beyond a traditional paper form; such as electronic completion, dynamic sections, database calls and electronic submission. With a form on your computer screen you can enter and process information in a simple and logical format. The core of the SmartForms.com business is providing state-of- the-art, simple SmartForms for our customers.
SmartForms stimulates process improvements and has been streamlining forms since 1992. We stay ahead of technology and offer the next generation of online applications and software in Windows or Apple platforms. Kindly review the Portfolio link to see the variety of programs and applications created by SmartForms. These include software products for the medical industry such as the multiple versions of the CMS-1500, OASIS C-2, UB-04 and CMS-485.
The newest systems designed by SmartForms are cloud-based systems. Launched in October 2017, the OASISC-2 Online Tool is a solution to completing and submitting the OASIS C-2 to Medicare. Home Health Agencies pay a low monthly subscription fee and love this solution that streamlines their processes, improves compliance and significantly increases their reimbursements. The new Employee Portal system assists in hiring and bringing onboard new employees. Another system is the Online Building Permit application. This system is used by municipal departments to accept permit applications, development plans and fees.
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Cms 1500 Claim Form Software
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Healthie's CMS 1500 Dashboard enables you to easily keep track of claims that you have created and submitted, and manage details including statuses, co-pay amounts, and reimbursement details. This streamlines the operations of you and your team, as you can quickly sort and filter by status.
You can access the CMS 1500 Dashboard by navigating to Billing > CMS 1500. Note that if you are part of an organization, your Organization administrator will need to enable a setting such that you can view CMS 1500 claims for yourself and for other members of your organization.
IN THIS ARTICLE:
Sorting Options on CMS 1500 Dashboard
There may be instances in which you'd like to sort and navigate the CMS 1500 claims that you have created, to take action on some / all of your claims. For example, if you are on the phone with a particular insurance company, you can use this status filter to address all outstanding claims from one particular insurance company.
Healthie's CMS 1500 Dashboard allows you to filter by:
- Client name
- Policy name
- Service date
- Created date
- Status
- You may also want to download the CMS 1500 Report for additional detail on your claims.
Viewing the Status of Claims
You can view the status of each claim that has been created, as well as keep track of important reimbursement details. Sort through your claims by using the 'Sort by Status' menu at the top of the CMS 1500 page. By default, ALL claims shows. You'll also be able to see the number of claims for each status, allowing you to more efficiently keep track of claims.
Status Options include:
- Sent: Use this Status if you have sent a claim to your Clearinghouse
- Batched: Use this status after you have included this claim in a batch for export
- Rejected by clearinghouse: Use this status for rejected claims from your clearinghouse (ie. Office Ally) that need to be updated and resubmitted to your clearinghouse [Note: a red triangle will appear for this status, to help you quickly identify claims that need your attention]
- Denied by insurance: Use this status if insurance has processed your claim and have denied reimbursement [Note: a red triangle will appear for this status, to help you quickly identify claims that need your attention]
- Not sent: Use this status if you have pending forms that have not been sent to a Clearinghouse
- Client Deductible Applies: Use this status if insurance payer has indicated that your client will owe a deductible amount before insurance will reimburse for services.
- Partially-Paid Use this status if the claim has been reimbursed but there is still a remaining client-owed responsibility
- Fully-Paid: Use this status if a claim has been processed 100% and there is no remaining client-owed responsibility
- Ignored: If you'd like to take no further action on this claim, simply change the status to 'Ignored'
Note: If you use Healthie's auto-integration with Office Ally, claim statuses will update automatically.
Setting Co-Pay, Reimbursement Amount, and Reimbursement Details
You may want to set a co-pay and indicate reimbursement amount for a CMS 1500 claim.
Cms 1500 Claim Software
Within your Dashboard, Navigate to Actions > Add Co-Pay / Reimbursement information.
Cms 1500 Claim Software Login
If you'd like to send an invoice to a client for a remaining client-owed responsibility, learn how to create and send an invoice here.
Additional resources
Cms 1500 Claim Software Free
Attend our free Live Class, held weekly, on Insurance Billing via Healthie. Sign up here.