Content Section
|
Medicare Information Resource
|
Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material which is copyrighted by the American Medical Association (AMA). You are forbidden to download the files unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now (you will be linked back to here).
|
MIR-2007-2AB, February 2007
MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
|
Elimination of CMS-1491 and CMS-1490U Forms
Provider Types Affected
Suppliers of ambulance services who submit claims to Medicare carriers or Part A/B Medicare Administrative Contractors (A/B MAC) for ambulance services to Medicare beneficiaries
Impact on Providers
Ambulance suppliers should submit their paper ambulance claims using the Form CMS-1500 on or after April 2, 2007 (see Additional Information section for the CMS-1500 Web address). Note: The April 2, 2007, date actually refers to the date your carrier or A/B MAC receives the claim. So, be sure the claims you send that will be received on or after April 2, 2007, are sent on the Form CMS-1500.
Background
The purpose of CR 5390 is to notify suppliers of ambulance services that the Centers for Medicare & Medicaid Services (CMS) determined that paper-claim forms CMS-1491 and CMS 1490U will no longer be printed effective October 1, 2006. Therefore, as of April 2, 2007, carriers and A/B MACs are no longer permitted to accept claims from ambulance suppliers on the Forms CMS-1491 and CMS1490U. If your carrier or A/B MAC receives claims on forms CMS-1491 and/or CMS-1490U on or after April 2, 2007, they will reject the claim back to you and you will need to send it again using the CMS-1500 form.
The Medicare Claims Processing Manual Chapter 1, Section 70.8.4 is being revised to eliminate all information that pertains to CMS-1491 and CMS 1490U forms and Chapter 15, Section 30.1.3 is being deleted in its entirety. (See the official instructions for CR5390 to review these manual sections.)
Additional Information
If you have questions, please contact your Medicare A/B MAC or carrier at their toll-free number which may be found at: http://www.cms.hhs.gov/MLNProducts/downloads/CallCenterTollNumDirectory.zip  on the CMS Web site.
For complete details regarding this Change Request (CR) please see the official instruction (CR5390) issued to your Medicare A/B MAC or carrier. That instruction may be viewed by going to http://www.cms.hhs.gov/Transmittals/downloads/R1144CP.pdf  on the CMS Web site.
If you would like to review CMS-1500 you may find it at: http://www.cms.hhs.gov/cmsforms/downloads/CMS1500.pdf on the CMS Web site. In order to purchase claim forms, you should contact the U.S. Government Printing Office at (202) 512-1800, local printing companies in your area, and/or office supply stores. Vendors typically sell the CMS-1500 claim form in its various configurations (single part, multi-part, continuous feed, laser, etc). Because many carriers and A/B MACs use scanner technology to read these forms, do not submit photocopied claims . Further specifications and information about the CMS-1500 is available at http://www.cms.hhs.gov/ElectronicBillingEDITrans/16_1500.asp  on the CMS Web site.
MLN Matters article MM5060 provides background information about CMS-1500 at: http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5060.pdf on the CMS Web site.
Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents
MLN Matters Number: MM5390
Pub. 100-4, Transmittal# R1144CP, CR# 5390
Related CR Release Date: December 29, 2006
Effective Date: April 2, 2007
Implementation Date: April 2, 2007
Flu Shot Reminder
It's Not Too Late to Get the Flu Shot. We are in the midst of flu season and a flu vaccine is still the best way to prevent infection and the complications associated with the flu. But re-vaccination is necessary each year because the flu viruses change each year. Encourage your Medicare patients who haven’t already done so to get their annual flu shot and don’t forget to immunize yourself and your staff. Protect yourself, your patients, and your family and friends. Get Your Flu Shot. It’s Not Too Late! Remember - Influenza vaccination is a covered Part B benefit. Note that influenza vaccine is NOT a Part D covered drug. For more information about Medicare’s coverage of adult immunizations and educational resources, go to CMS’s Web site: http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0667.pdf.
|
