CMS-588 2013 free printable template

Indicate your reason for completing this form by checking the appropriate box New EFT enrollment change to your EFT enrollment account information or cancellation of your EFT enrollment. Zeros. Select the account type. If you do not submit this information your EFT authorization agreement will be returned without further processing. CMS-588 form. Line 16 By your signature on this form you are certifying that the account is drawn in the Name of the Physician or Individual Practitioner or the...

How to fill out CMS-588

How to fill out CMS-588

1. Obtain a copy of the CMS-588 form from the official CMS website or your local Medicare office.
2. Fill out the provider's name, address, and National Provider Identifier (NPI) at the top of the form.
3. Specify the type of entity applying for enrollment (e.g., individual provider, group practice).
4. Complete the sections regarding the entity's ownership and control, including details about any managing employees.
5. Provide payment information, including bank account details for electronic funds transfer.
6. Review and confirm that all the information is accurate and complete.
7. Sign and date the form at the designated space.
8. Submit the completed CMS-588 form to the appropriate Medicare administrative contractor (MAC) by mail or electronically, as instructed.

Who needs CMS-588?

1. Healthcare providers and suppliers who wish to enroll in the Medicare program or update their enrollment information.
2. Organizations that require payment for Medicare services via electronic funds transfer.

Instructions and Help about CMS-588

Welcome to go beyond learning experiences to code Metro our goal in creating this series is to provide you with tangible oftentimes little-known tips that you can apply to both your business and your career our topics will vary as will our speakers, and we welcome you to visit our website to get the latest edition of go beyond we appreciate your feedback and invite you to send us your thoughts and questions as well as any suggestions you might have for future topics our first edition of go beyond focuses on tips for completing the CMS 1500 form for faster payment our presenter today is our own chief operating officer Dr. Kim finger Kim has an extensive background in autism having served as a direct service provider in Connecticut many years ago after which she swayed into the world of executive coaching prior to joining code Metro Kim was the chief operating officer at autism spectrum therapies a large California-based autism services company Kim created the insurance billing department at code Metro and is here to share with you her tips on completing the 1500 form hello it's my pleasure to share with you our tips on how to successfully complete a CMS 1500 form a question were frequently asked by our customers is which fields on the 1500 form must be completed for the CMS form to be accepted and not rejected by the insurance carrier, so today we're going to answer this question as well as review which fields are optional to complete and which can be left blank we'll also be reviewing what information is entered in each of the mandatory and optional fields recognizing that the language on the 1500 form is foreign to most providers and a source of confusion when preparing the form okay let's take a look at the 1500 form there are 33 fields on the form of which two fields can always be left blank without worry and that's field 10d reserved for local use and field 15 if patient has had same or similar illness give first date now that we have those out of the way let's talk about the fields that must be completed to submit a clean claim before we go through the numbered fields let's start with entering the name and address of the insurance company in the top right-hand corner of the form, although you may be submitting the form electronically the name and address of the insurance carrier must be included in this space on the form itself field 1a is a required field in this field you will enter the patient's insurance policy number as indicated on their insurance card in some cases the card will be in the parents name and their policy number will be entered here the ID number though will reflect not the parent but the patient's insurance ID number fields 2 camp; 5 capture patient name and address and must be completed the only optional field is telephone number fields 4 camp; 7 will contain the same name and address as fields 2 camp; 5 although the name on the insurance card may be the mother or father's name recent changes dictate that the patient...

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What is CMS-588?

CMS-588 is a form used by healthcare providers and organizations to apply for rational and efficient billing to Medicare and Medicaid programs.

Who is required to file CMS-588?

Providers and suppliers seeking to participate in Medicare and Medicaid programs are required to file CMS-588.

How to fill out CMS-588?

To fill out CMS-588, providers should provide accurate information about their organization, including tax identification numbers, billing addresses, and banking information for electronic funds transfer.

What is the purpose of CMS-588?

The purpose of CMS-588 is to establish a provider's electronic payment system and ensure secure and efficient reimbursement for services rendered.

What information must be reported on CMS-588?

The information that must be reported on CMS-588 includes provider's name, address, Tax ID number, NPI, and the financial institution for electronic payments.