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The document is the Medicare Provider Reimbursement Manual, specifically Part 2, which outlines the cost reporting forms and instructions for Federally Qualified Health Centers (FQHCs) using Form CMS-224-14. It details the requirements for filing cost reports, including new material effective from October 1, 2014, related to the prospective payment system established by the Affordable Care Act. The manual includes various worksheets that collect data on costs, revenues, and services provided by FQHCs, as well as guidelines for electronic submissions and compliance with federal regulations.

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What is the electronic format of a claim form?

The electronic form used in modern healthcare billing is based on the HCFA 1500 paper form, also known as the CMS-1500 form. The Claim.MD online version of this form retains the familiarity of the standard paper form but allows for additional electronic elements supported in the 837P electronic claim standard.

What is required for electronic signature for CMS?

You may use a handwritten or electronic signature. The signature must relate to the specific services that you order or provide. Your signature must be legible. If a reviewer cant easily read your signature, it must match your signature log.

What is the format required by CMS for electronic claim submission?

The 837P (Professional) is the standard format used by health care professionals and suppliers to transmit health care claims electronically.

What is the 837 electronic claim format?

An 837 file is an electronic file that contains patient claim information. This file is submitted to an insurance company or to a clearinghouse instead of printing and mailing a paper claim. The data in an 837 file is called a Transaction Set.

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