MLN Product (Revised); Medicare Billing: 837P & Form CMS-1500
This revised Product comprises Subregulatory Guidance for the Medicare Billing: 837P & Form CMS-1500 fact sheet, and its content is based on publically available content within
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/pim83c04.pdf,
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs,
https://nucc.org/images/stories/PDF/1500_claim_form_instruction_manual_2020_07-v8.pdf, and
https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c23.pdf. CMS policy or operation subject matter experts also reviewed/cleared this product. This Product educates providers about the requirements for successfully submitting Medicare provider claims for payment using the 837P & Form CMS-1500. This fact sheet gives an overview of these actions and details the provider’s responsibilities. This revised product does not contain any substantive changes to the previous version dated June 2022.
The previous version of this product is available to the public and currently posted on the CMS website at
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/837P-CMS-1500.pdf.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 14, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.