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DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services R FACT SHEET Medicare Billing: 837P and Form CMS-1500 What are the 837P and Form CMS-1500? Medicare FFS Contractors
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How to fill out to bill medicare

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01
To fill out a bill for Medicare, you will need to gather all the necessary information and forms. This includes your personal information, such as your name, address, and Social Security Number.
02
You will also need to have your Medicare number, which can be found on your Medicare card. If you do not have a Medicare card, you can contact the Social Security Administration to obtain one.
03
Next, you will need to identify the services or medical items that you are billing Medicare for. This may include doctor's visits, hospital stays, medical equipment, or prescription drugs.
04
It is important to accurately record the dates of service or item delivery, as well as the relevant medical codes associated with each service. This helps Medicare understand the nature and purpose of the billed items.
05
Once you have gathered the necessary information and completed the appropriate forms, you can submit your bill to Medicare. Depending on the type of service or item, you may need to send the bill to a specific Medicare contractor or provider.

Who needs to bill Medicare?

01
Medicare beneficiaries who receive medical services or items from healthcare providers need to bill Medicare. This includes individuals who are enrolled in Original Medicare (Part A and Part B) or a Medicare Advantage (Part C) plan.
02
Healthcare professionals, hospitals, clinics, and suppliers also need to bill Medicare for the services or items they provide to Medicare beneficiaries. They must follow specific billing procedures and meet Medicare's requirements to receive payment.
03
It is important to note that not all healthcare providers accept Medicare assignment, which means they may charge more for their services than what Medicare covers. In such cases, beneficiaries may need to pay the excess charges or seek care from a provider who accepts assignment.
In summary, anyone who receives medical services or items from Medicare, as well as healthcare providers who deliver these services, needs to bill Medicare. Properly filling out the bill with accurate information and submitting it to the appropriate Medicare contractor is crucial to ensure timely payment and reimbursement.
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To bill Medicare means to submit a request for payment to the Medicare program for healthcare services provided to eligible beneficiaries.
Healthcare providers such as doctors, hospitals, and other medical facilities are required to file to bill Medicare for services provided to Medicare beneficiaries.
To fill out a Medicare billing form, providers must include the patient's information, details of the services provided, and the provider's information.
The purpose of billing Medicare is to receive payment for medical services provided to Medicare beneficiaries.
Information such as the patient's name, Medicare number, date of service, description of services provided, and the provider's National Provider Identifier (NPI) must be reported on the Medicare billing form.
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