As is true in most of the administrative world, there are more forms than people know what to do with. Go to a doctor's office for a procedure and he'll most likely have you fill out a slew of forms that will end up taking you longer to do than the whole examination or procedure itself. Well, the world of medical billing is no different. There are more forms than you can possibly imagine. We take a look at some of the more common of these forms.
Probably the most common form in medical billing is the HCFA 1500 form. This is the main claim form to bill for services. These forms are intense. There is more information contained on a HCFA 1500 form than probably on any other form in existence. The amount of information contained in a HCFA 1500 is beyond the scope of this article but some of the main pieces of information are patient personal information, insurance information, items billed and patient medical history. HCFA 1500 form manufacture is big business and these forms are very expensive to billers. That is why many medical billers are switching over to electronic billing so that they do not have to deal with these HCFA 1500 forms.
Another billing form, although not as common but gaining popularity, is the UB-92 form for billing. The main difference between the UB-92 and the HCFA 1500 form is the format. For the most part, the same information is transmitted. It's just in different places. There are some things contained on one form and not on the other. But for the most part, they serve the same function.
Another common form is the Certificate Of Medical Necessity, or CMN. CMNs are needed for any item given to a patient where the biller has to show proof that the patient is in medical need of this item, such as a wheelchair or oxygen concentrator. This proof has come to the doctor who fills out a CMN, which he then has to sign. CMNs are also big business and very expensive forms, although not as expensive as HCFA 1500 forms.
Not quite as common are forms called Centers For Medicare And Medicaid Services, or CMS forms. These are actually very new and as of this writing, a new version will be coming out in April of 2007. These forms cater specifically to Medicare and Medicaid claims.
And there are a number of other odds and ends forms to add to the above list. Each one has its own specific purpose. Some you may use only once in a year but if you do not have it, it could lead to lost revenue. So be assured that the price you will pay for that form will be a hefty one.
And if all that is not enough, each of these forms comes in either regular dot matrix form or specifically made for laser printing. Yes, the laser forms are much more expensive.
Make no mistake about it. Medical billing forms is big business and one of the largest costs to any medical billing agency.